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0110 HOLDER LANE - Health
110 Holder Lane - Marstons Mills P A = 174 001019 — f No. Fim.t��................. THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ..OF.......!�/1 ��..... .................. ................................................ AVVIkatiun for Dispout Works Tunutrurtiun JIrrutit Application is hereby made for a Permit t Co tr ��C ) or Repair O an Individual Sewage Disposal System at, • c " - ... 17-.j ...1:1Q -N_]-!! - z..� 1.._� _'eY01A&1__-...,�W'.------....-••------- Location-Address or o. =-•---•-------------------•---------- ..........1���r �__Hill.- -----•-----•---------------.............--- Owner Address a - ^.. ------------------------------------------------------------ .......... e !�.__ � t. t�L.� ---•---------------------•-- ........ Installer Address Type of Building Size Lot.......!7..r.44-8..Sq. feet U Dwelling—No. of Bedrooms........ .......................Expansion Attic ) Garbage Grinder NO) } a Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) aOther fixtures .---.....---•-------•-•--••......--•---•....... W Design Flow.................................... .5_gallons per person per day. Total daily flow_.._........._......._.....�_3-._d..gallons. WSeptic Tank—Liquid capacity.110M.gallons Length.._:'aa"_._ Width.41-10...._ Diameter__-----.-- Depth S e '.(?ri x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No---ATS04t-------- Diameter-----L0......... Depth below inlet.....&........... Total leaching area..i 4!_7_...sq. ft. Z Other Distribution box (YQ Dosing tank ( ) aPercolation Test Results Performed by W.N.y....1vl R ..lh� _ ................. Date... L ?......._..._.. Test Pit No. 1........?. ._minutes per inch Depth of Test Pit---1x5'__....... Depth to ground water---- 0=4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground Ovate �F11 ,:_ T s p STEPHEN �G 0 Description of Soil...........0`... Q -�-50ig.-ad...-•-----------•---------------------•----------------•--- w x -----•-•-••--••-----•------•----•-------.!� t� -------- lm --s"'W.9.-•----••-•---------------------------- ----•----------------- e'W eJ.......A+its- ..__.....--•-----------------•---•-------------....----•---•---------------........----...------••------•-•---------------.......-•------•--•-----•............---------- Na.3021L U Nature of Repairs or Alterations—Answer when applicable--------------------------------------------------------------____ ^A� � ST�� �a`L Agreement: c. /zz�yo The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in cordance with the provisions of TITLE 5 of the State Sanitary Code— The undersigned further agrees not to place the system`in operation until a Certificate of Compliance has b e by the board f hea Signed .._. I Z 9/ - -------------•--•-- ..... Application Approved By... D to ---------/ -G D - Application Disapproved for the following reaso ---------------------•------•----------------------------------------------------------------•-------....------ ......................................_......................................................................................---....................... ................................................ I �n Gf/� Date Permit No. .. Issued. w 1 v-------------- --- D NO.- - /� F�S/ D THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH rzcwit / ....................OF.......aA,(2.16. !;Ae_21C Appfiration for Dispoiial Vark Tongtrurtion Vunfit Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal System at: a.&6�....AMC. Wi.6Ad2 ............Z_ Z&.-PZA .....7140.1�.-'&r.......!0a.7.Q..................... Location-Address 7' .................................... ........... L'�. .............................................. I'wner _t_ 4S ------------------------------------------- --------------------------------------------- .......... Installer Address Type of Building Size Lot.......17_.rA4.6..Sq. feet U Dwelling—No. of Bedrooms__......Thinzr.......................Expansion Attic A) Garbage Grinder 0-0) Other—Type of Building ............................ No. of persons............................ Showers Cafeteria P-1 Other fixtures ...................................................................................................................................................... Design Flow....................................5-5-gallons per person V er day. Total daily flow__._.__..__.................Z.Z�P__gallons. Septic Tank—Liquid capacity.I.000-gallons Length.5.-.(V..... WidthA'-.to`._ Diameter-_. .... Depth.— Disposal Trench—No..................... Width...__........____... Total Length.._....... .._..._. Total leaching area...-----------------sq. f t. Seepage Pit No....OT-kR......... Diameter.....1.0......... Depth below inlet._.............. Total leaching area.._ Al...sq. f t. Z Other Distribution box ()e,) Dosing tank ( ) Percolation Test Results Performed by_.14�_ y---EL4i_ J�..L .1cut................ Date....!VAAA 7 J_r .................. Test Pit No. I........Z..minutes per inch Depth of Test Pit..../.::7........ Depth to ground A... ............. 44 Test Pit No. 2................minutes per inch Depth of Test Pit___..........____... Depth to groun -OFF ........ 04 .................................................................................. ------*----------------- - ---------------- . ..... — 121 1 STEPHEN 0 Description of Soil...........0.....ZZ........-0 ............................................................. . ............EY........ . X AL....N"** yw...SXAQQ............................................................... LSIM U .........................................43.!=J.5......... -8------ ............................................................................................................................................................. . .... ... U Nature of Repairs or Alterations—Answer when applicable------------------------------------------------------ ................................................................................................................................................................ Agreement: !:4ve The undersigned agrees to install the aforedescribed Individual Sewage Disposal Sy em in accordance with �Zr�D the provisions of T I T IE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has b s od by the board pf health. Signed.._.. .. f.. ............................. ......... ........... ......... /........... -------- Application Approved By._ ....... D.t Application Disapproved for the following reason ..................................................................................................*------------- ...................................................................................................................................................... ....... Date Permit No.......�0--------0 .7................... IssuedL-----j I-------------------------- Vate THE COMMONWEALTH OF MASSACHUSETTS OARD OF HEALTH '7' / 9Z-;r'_ ..........jv....................OF.......... ..... 411olum.......................... (9rdifirate of Toutpliattrr THI IS TO CERTIFY, That T !�he Individual Swa ge age Disposal System constructed or Repaired by....... _ ...O ...a.... ............................ ............ ............................................. at---------- ler ...�l.....1.1b.....1-0..ZLIP......L41ve-, 'Wo...AMA/a.............................................. has been installed in accordance with the provisions of TIThe State Sanitary Code in the application for Disposal Works Construction Permit No._ - ..7........ dated--... -Of' THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTP*DAS A G dated__...___. . THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE......j5...... i................................................. Inspector.................................................................................. THE COMMONWEALTH OF MASSACHUSETTS 0" OARD OF HEALTH .........-10006424OF...... ................ 00 No...._ Roma 46.v Totuitnul 1" 1-1-1 ft FEE, ....._ 'grr Permission is hereby granted.......... ....... ........ ................ ........................................................................... to Construct or �e/air. ( ) Sr e,e an In8vidual-Sew Disposal S t . at No........ - --------- 't as shown on the application for Disposal Works Construction Permit No 19 ... ......... ... .7Dated....L .6 .......................................... ................... 1.............. - DATE................... ............................. rV of Health FORM 1255 HOBBS & WARREN, INC., PUBLISHERS TOWN OF BARNSTABLE LOCATION I l O 1-loL 2 L Iv SEWAGE # �O�y VILLAGE - �° �' ASSESSOR'S MAP & LOT17iE q INSTALLER'S NAME&PHONE NO. WM iZD6,As 5eek-, Sermt,e 5b9' 77.--Z776 SEPTIC TANK CAPACITY (ooc 6-1 LEACHING FACILITY: (type) 3 A Sbb GAc (size) 3 x ►�•S' NO.OF BEDROOMS "I BLJILDER O OWNE Te 00 0 PERMTTDATE: S� ®y COMPLIANCE DATE: (-I?atZoy Separation Distance Between the: ' Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet } Furnished by i3��K �F �®vs� ;�� , , �� �® �, � "�10 �� ., �, .: � H° -, o � BARNSTABLE /r WN F LOCATION Lo? /zC ®/�P� ��r r'e SEWAGE # VILLAGE f" ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. Jon Aa /A4 q2e SEPTIC TANK CAPACITY J o oy LEACHING FACILITY:(type)_/Jr (size) i!� X/ NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: ! ' 62'"`/ DATE COLIPLIANCE ISSUED: VARIANCE GRANTED: Yes No OC 47 , l t - l No. `/ `�' ��---.-� y Fee$50 00 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: •' es i PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS ZIppYitatfon for Zigaal 6potem Conztruction Permit Application for a Permit to Construct( )Repair(X)Upgrade( )Abandon( ) El Complete System 7 Individual Components Location Address or Lot No. Owner's Name,Address and Tel.No.4 2 0—01 6 0 s Rodney & Michelle Tavano L , eAsaorrsNaparse 1 1 0 Holders Ln, W. Barnstable 17411 -19 Installer's Name,Address,and Tel.No. 7 7 5—8 7 7 6 Designer's Name,Address and Tel.No. 3 6 4—0 8 9 4 Wm E Robinson Sr Septic Eco-Tech PO Box 1089, Centerville 43 Triangle Cir, Sandwich Type of Building: Dwelling No.of Bedrooms 4 Lot Size sq.ft. Garbage Grindergo ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil, Nature of Repairs or Alterations(Answer when applicable) T n s t a 1 1 n Pw Tit 1 P � 1e a,'h system to plans of Eco-Tech #ETE-1625 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 h3&lzeen iss ed b s Bo d of H Ith. Signe Date Application Approve Date Application Disapproved for the following reasons Permit No. Date Issued .�,.. ..y. _. _ ... _-_v..—-v r'•aa w: ! 'y'�"_..ir+r-"�.l' .z .. _ ... v.._......, --:tr r t , ' _r �-_. _1..V...1 ,.4�S ,.Sf'h+-.'.;y.�"'..e. •...a. v ry .pin..-L _. r s` No. � Fee550.00 THE COMMONWEALTH OF MASSACHUSETTS ntered in computer: w�F PUBLIC HEAL °H DIVISION -TOWN OF BARNSTABLES MASSACHUSETTS es ZlppYication for Mizpogal *potent Construction Permit Application for a Permit to Construct( ; )Repair( X)Upgrade( )Abandon( ) El Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Address and Tel.No.4 2 0—01 6 0 Assessor's Map%deer Ln, a Rodney & Michelle Tavano 110 Holders Ln, W. Barnstable Installer's Name,Address,and Tel.No. 7 7 5—8 7 7 6 Designer's Name,Address and Tel.No. 3 6 4—0 8 9 4 Wm E -Robinson Sr Septic Eco-Tech PO Box 1089, Centerville 43 Triangle Cir, Sandwich Type of Building: Dwelling No.of Bedrooms 4 Lot Size sq.ft. Garbage Grinderr(o ) Other 'Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil t Nature of Repairs or Alterations(Answer when applicable) T n c i-a l l n smw Title 53-a system rto✓blans of Eco-Tech #ETE-1625 Date last inspected: k, Agreement: Z 1Theundeisigneees 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 s Bo d of Health, ( f ,! Signed v. / _ Date v.•. Application Approved,b ' Date y Application/D'isappioved for the following reasons � e Permit No. « Date Issued THE COMMONWEALTH OF MASSACHUSETTS Tavano BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( )Repaired(X )Upgraded( ) Abandoned-( )bv.Wm E Robinson Sr Septic Service at 1 1 0 Holder Lane W. Barnstable ., >bas b -ronstructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. 'tad .l Installer Designer _ r L The issuance of this permit shj�1 not be1con�str)u_ed as a guarantee that the system Will-function as desrg}�led� ,p 1. Date / 1 ��`/- Inspector I t 11nA W�#^ ��f it'/ X/ V VtvV No. r Fee° 5 0. Tavano THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS Miopooar bpztem Construction Permit Permission is hereby granted to Construct( )Repair( X)Upgrade( )Abandon( ) Systemlocated at_1 1 0 f of ricer T.AnA_ tea R=rnstabl e 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 fb` tlu p= Date: __� ` / `( Approved by TOWN OF BARNS'TABLE . LOCATION l O "DL be t L av SEWAGE # �Qoy VILLAGE ln+ :�o r^5abic ASSESSOR'S MAP & LOT r �q INSTALLER'S NAME&PHONENO.-WM CV. Sum Stfvtce SbS 7-i�-�776 SEPTIC TANK CAPACITY /Roc 6`1 LEACHING FACILITY: (type (size) 33.E x ►�.� NO.OF BEDROOMS t� BUILDER O OWNE PERMITDATE: 's' /1' �y 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 Feet on site or within 200 feet of leaching facility) Edge of Wetland and Leaching Facility(If any wetlands exist Feet within 300 feet of leaching facility) Furnished by �ACV' OF O �N Town..of Barnstable Regulatory Services Thomas F. Geiler,Director BARNFrast e, =�A 0'9. A � Public Health Division rfD"1A� Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer& Designer Certification Form Date: L' Designer: Eco-Tech Installer:Wm E Robinson Sr Address: 43 Triangle Cir Address: PO Box 1 089 5 Sandwich Centerville On Wm E Robinson Sr SeptAcs issued a permit to install a (date) (installer) septic system at 1 1 0 Holder Ln, W. Barnstable based on a design drawn by (address) Eco—T/ch dated 04-23-04 (designer) I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. I 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. �tKOFMgss p=�► DAVID 9pyG COUGHANOWR !4 (Inst ler's Signature) v # 1 o9s Nsraa� (Designer'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 AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q:Health/Septic/Designer Certification Form TROY WILLIAMS SEPTIC INSPECTIONS Certified by MA Department of Environmental Protection r{�JDB� 385-1300 19 Hummel Drive South Dennis, MA Q2660 COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS t919 DEPARTMENT OF ENVIRONMENTAL PROTECTIOi l ,90 ONE WINTER STREET. BOSTON, MA 02108 617-292.5500 O WILLIAM F.WELD Governor TRUDY CORE Secretan ARGEO PAUL CELLUCCI DAVID B.STRUHS Lt.Govcmor SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM Commissioner PART A CERTIFICATION Property Address: //6 No Icier �.H� �• (ja.nS fa� /,c p rty sP S �/y /�� Address of Owner: M Date of Inspection: (If different) t ° ���" Name of Inspector: Troy Williams e L //U h�o /c ,� A. 1 am a DEP approved system inspector pursuant to Section 1S.340 of Title 5 (310 CMR 15.000) Company Name: Troy W i l l i a m s Septic I n s..D e c t i ions s /� s t ��,-„s 6 l Mailing Address: 19 Hummel Drive , South DPnnis , MA 02660 /1IP. 6 � 66S' Telephone Number: (508) 385-1300 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal.system at this address and that the information reported below is true,accurate and complete as of the time of inspection: The inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems. The system: Passes Conditionally Passes Needs Further Evaluation By the Local Approving Authority _ Fails Inspector's Signature. Date: The System Inspector shall submit a copy of this inspection report to the Approving Authority within thirty(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 Department of Environmental Protection. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. INSPECTION SUMMARY: Check A, B, C, or D: A) SYSTEM PASSES: I have not found any information which indicates that the system violates any of the failure criteria as defined in 310 CMR 15.303. Any failure criteria not evaluated are indicated below. COMMENTS: 81 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. Indicate yes, no, or not determined (Y, N,or ND). Describe basis of determination in all instances. If'not determined',explain why not. The septic tank is metal,unless the owner or operator has provided the system inspector with a copy of a Certificate of Compliance (attached) indicating that the tank was installed within twenty(20) years prior to the date of the inspection; or the septic tank, whether or not metal, is cracked, structurally unsound, shows substantial infiltration or exfiltration,or tank failure is imminent. The system will pass inspection if the existing septic Lank is replaced with a conforming septic tank as approved by the Board of Health. I r�••l•mod C1;75:5': Pay• 1 or 10 P r SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) 110 Holder Lane,West Barnstable, MA Property Address: Dave Madden Owner: May 14, 1998 Date of Inspection: B) SYSTEM CONDITIONALLY PASSES (continued) A111q Sewage backup or breakout or high static water level observed in the distribution box is due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. The system will pass inspection if(with approval of the Board of Health). Describe observations: broken pipe(s) are replaced obstruction is removed distribution box is levelled or replaced , The system required pumping more than four 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 Cl FURTHER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH: /\1/19 Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect the public health, safety and the environment. 1) SYSTEM WILL PASS UNLESS.BOARD OF HEALTH DETERMINES THAT THE SYSTEM IS NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: Cesspool or privy is within 50 feet of a surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh. 2) SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH (AND PUBLIC WATER SUPPLIER, IF APPROPRIATE) DETERMINES THAT THE SYSTEM IS FUNCTIONING IN A MANNER THAT PROTECTS THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet to a surface water supply or tributary to a surface water supply. The system has a septic tank and soil absorption system and the SAS is within a Zone I of a public water supply well. The system has a septic tank and soil absorption system and the SAS is within 50 feet of a private water supply well. The system has a septic tank and soil absorption system and the SAS is less than 100 feet but 50 feet or more from a private water supply well, unless a well water analysis 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. Method used to determine distance (approximation not valid). 3) OTHER , • C T. SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 110 Holder Lane, West Barnstable,MA Owner: Dave Madden Date of Inspection: May 14, 1998 Dl SYSTEM FAILS: A//"9 You must indicate ei;,.er "Yes" or "No" as to each of the following: I have determined that the system violates one or more of the following failure criteria as defined in 310 CMR 15.303. The basis for this determination is identified below. The Board of Health should be contacted to determine what will be necessary to correct the failure. Yes No Backup of sewage into facility or system component due to an 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 112 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 Soil Absorption System, cesspool or privy is below the high groundwater elevation. Any portion of a 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 I 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 frortl a private water supply well with no acceptable water quality analysis. If the well has.been analyzed to be acceptable, attach copy of well water analysis for coliform bacteria, volatile organic compounds, ammonia nitrogen and nitrate nitrogen. El LARGE SYSTEM FAILS: /%///-I You must indicate either "Yes" or "No" as to each of the following: The following criteria apply to large systems in addition to the criteria above: The system serves a facility with a design flow of 10,000 gpd or greater (Large System) and the system is a significant threat to public health and safety and the environment because one or more of the following conditions exist: 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) The owner or operator of any such system shall bring the system and facility into full compliance wit h t requirements of 314 CMR 5.00 and 6.00. Please consult the local regional office of the Department for further information.atment program. SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST 110 Holder Lane, West Barnstable,MA Property Address: Dave Madden Owner: May 14, 1998 Date of Inspection: Check if the following have been done: You must indicate either "Yes" or "No" as to each of the following: Yes No 2 Pumping information was provided by the owner, occupant, or Board of Health. _ None of the system components have been pumped for at least two weeks and the system has been receiving normal flow rates during that period. Large volumes of water have not been introduced into the system recently or as part of this inspection. _ As built plans have been obtained and examined. Note if they are not available with N/A. .� _ The facility or dwelling was inspected (or signs of sewage back-up. The system does not receive non-sanitary or industrial waste flow. _ The site was inspected for signs of breakout. JL _ All system components, excluding the Soil Absorption System, have been located on the site. _ The septic tank manholes were uncovered, opened, and the interior of the septic tank was inspected for condition of baffles or tees, material-of construction, dimensions, depth of liquid, depth of sludge, depth of scum. The size and location of the Soil Absorption System on the site has been determined based on: _ The facility owner (and occupants, if different from owner) were provided with information on the proper maintenance of / Sub-Surface Disposal System. 1C Existing information. Ex. Plan at B.O.H. _ Determined in the field (if any of the failure criteria related to Part C is at issue, approximation of distance is unacceptable) (15.302(3)(b)) Ir�vi•mod 01/7S/9�1 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 110 Holder Lane, West Barnstable,MA Owner: Dave Madden Date of Inspection: May 14, 1998 RESIDENTIAL: FLOW CONDITIONS Design flow:3 3 O .p.d./bedroom for S.A.S. Number of bedrooms: 3 Number of current residents: Garbage grinder(yes or no): /vo Laundry connected to system (yes or no):�S Seasonal use (yes or no):_A/O Water meter readings, if available (last two (2)year usage (gpd): `�7 = 78, Qoa // H s 9 - 7Y d0U Sump Pump (yes or no):_L/U / Last date of occupancy: U c-vP, COMMERCIAUINDUSTRIAL: A114 Type of establishment: Design flow: gallons/day Grease trap present: (yes or no)_ Industrial Waste Holding Tank present: (yes or-no)_ Non-sanitary waste discharged to the Title S system: (yes or no)_ Water meter readings, if.available: Last date of occupancy: OTHER: (Describe) Last date of occupancy: GENERAL INFORMATION PUMPING RECORDS and source of information: �J a , 1 4- System pumped as part of inspection: (yes or If yes, volume pumped: gallons Reason for pumping: TYPE 9f 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) I/A Technology etc. Copy of up to date contract? Ohher APPROXIMATE AGE of all components, date installed (if known) and source of information:- I],) 02 /S /S / Sewage odors detected when arriving at the site: (yes or no) /�/� SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 110 Holder Lane, West Barnstable,MA Owner: Dave Madden Date of Inspection: May 14, 1998 BUILDING SEWER: A/// (Locate on site plan) Depth below grade: Material of construction: _ cast iron _ 40 PVC _ other (explain) Distance from private water supply well or suction line Diameter Comments: (condition of joints, venting, evidence of leakage, etc.) SEPTIC TANK: (locate on site plan) Depth below grade: f Material of construction: ✓concrete _metal _Fiberglass _Polyethylene _other(explain) If tank is metal, list age _ Is age confirmed by Certificate of Compliance _(Yes/No) Dimensions:_ s `7/ i�Y�. /oov �C- Sludge depth: 4111 Distance from top of sludge to bottom of outlet tee or baffle: 7 Scum thickness: s„ Distance from top of scum to top of outlet tee or baffle: 6 Distance from bottom of scum to bottom of outlet tee or baffle: �7 „ How dimensions were determined: /O►—u Comments: (recommendation for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural integrity, evidence of leakage, etc.) rat/L �n ; /t ` r �t fs y�,� o,� 4•- /�f- cr`_ r or d � I ^� L!lam k' Cl U <� r GREASE TRAP:A/40 (locate on site plan) Depth below grade: Material of construction: _concrete _metal _Fiberglass _Polyethylene —other(explain) Dimensions: Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: Date of last pumping: Comments: (recommendation for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural integrity, evidence of leakage, etc.) Ire —d 04/25/97) SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) 110 Holder Lane, West Barnstable,MA Property Address: Dave Madden Owner: May 14, 1998 Date of Inspection: Y TIGHT OR HOLDING TANK:-"' (Tank must be pumped prior to, or at time, of inspection) (locate on site plan) Depth below grade: Material of construction: _concrete _metal _Fiberglass _Polyethylene —other(explain) Dimensions: Capacity: gallons Design flow: gallons/day Alarm level: Alarm in working order_Yes;_ No Date of previous pumping: Comments: (condition of inlet tee, condition of alarm and float switches, etc.) DISTRIBUTION BOX:, (locate on site plan) Depth of liquid level above outlet invert: �U C Comments: (note if level anA distribution is equal, evidence of solids carryover, evidence of leakage into or out of box, etc.) e tom. J H r J o r a i PUMP CHAMBER: (locate on site plan) Pumps in working order: (Yes or No) Alarms in working order (Yes or.No) Comments: (note condition of pump chamber, condition of pumps and appurtenances, etc.) SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 110 Holder Lane, West Barnstable,MA Owner: Dave Madden Date of Inspection:May 14, 1998 SOIL ABSORPTION SYSTEM (SAS): (locate on site plan, if possible; excavation not required, but may be approximated by non-intrusive methods) If not determined to be present, explain: Type: leaching pits, number: 00 (, L c c.c p, w, ¢- leaching chambers, number:_ leaching galleries, number: leaching trenches, number,length: leaching fields, number, dimensions: overflow cesspool, number: Alternative system: Name of Technology: Comments: (note condition of soil, signs of hydraulic failur , level of ponding, condition of vegetation, etc.) ut w S S i ra �✓ /tV t 1 vti O i !n G .c L 74>' czx 4. CESSPOOLS: A/ (locate on site plan) Number and configuration: Depth-top of liquid to inlet invert: Depth of solids layer: Depth of scum layer: Dimensions of cesspool: Materials of construction: Indication of groundwater: inflow(cesspool must be pumped as part of inspection) Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) PRIVY: (locate on site plan) Materials of construction: Depth of solids: Dimensions: Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) i—i—d 04/25/97) P-q• a or 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 110 Holder Lane,West Barnstable,MA Owner: Dave Madden Date of Inspection: May 14, 1998 SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent references landmarks or benchmarks locate all wells within 100' (Locate where public water supply co es into house) 4-e r L t %` I I L yy' a5 y7 38 . So �-�3ox SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 110 Holder Lane,West Barnstable,MA Owner: Dave Madden Date of Inspection: May 14, 1998 Depth to Groundwater _ Feet adj=cd high groundwatcr Icvci Please indicate all the methods used to determine High Groundwater Elevation: Obtained from Design Plans on record Observation of Site (Abutting property, observation hole, basement sump etc.) V/ Determine it from local conditions Check with local Board of health Check FEMA Maps Check pumping records Check local excavators, installers Use USGS Data Describe in your own words how '�you established the High Groundwater Elevation. Must be completed) so 4-4ps, Ole— h 0 G L oA- Ir•�1••d 0�/75/9�) „� i•p• 10 of 10 FLOW PROFILE vIPT PIPE Y TOP OF FOUNDATION RAISE COVERS TO WITHIN 6 in .OF FINAL GRADE EL - 139.24 f r - RAM 1 COVER oN QAU-LWY / 2" LAYER.OF 1/8' 3' DROP or D-BOX r%x 1/2- STONE FLOW LINE " i4• H-20 48' GAS�� PRECAST 3/4'-11/4- + EXatavQ BAFFLE _ DRYWELL STONE 134JOt 6 in BOTTOM OF Exun1JO STONE 134J3 LEACHING SYSTEM SORPTION BASE EXISTING 134.30 GALLERY ,� 134.00 * 5.00 ft+ 1000 .GALLON (END VIEW) 13 .00 SEPTIC TANK v 10 r► 61 12.e rf 42.s ESTIMATED SEASONAL HIGH GROUNDWATER Q�O �N / t a A . m A Ql _ cn y A oo Z �o $ „ w 7z b 3 A m r- ® o m V X y,(A,4 , t° IT! Z 0 OOMkIp jrn m$ m R ° In z lu� Q T ym .N �co A x o �� " 3 -�N 9ti�o a�a ED �> )0; f' d a y mm � ZX '00 yr$G n ' Z C) (vl� Z rn ' C X =G)mN. m � w o m cn 0 �� O� O Z O : u, m w w =r ^� I r m G> ,t mR H m r o 0 e-.�� cn z Iv m m m n k � a� Lo00 = y mcry z M -v Ill m��� w M m 3 X ON Z oa aia m �$4A N mZ _ �-I � OSo O r aV r= �—m> p 1cn _C m z � t ZO m i p z y I— G) to o� n i c � -+ o 50 r —G AVM CO O .4 z a� to � Z � * o m � C Tz > m W r 3 n ROAD a mZ > o aWm in Z 3 r- Z o 7r, p --I > r m v 1 r. SOIL TEST LOG DESIGN CALCULATIONS DATE OF TEST: APRIL 14 1004 SOIL EVALUATOR: DAVID D. COUGHANOWR, RS WITNESSED REOUIREMENT WAIVED - NO VARIANCES SOUGHT DESIGN FLOW: 4 BEDROOMS X 110 GPD - 440 GPD NO GROUNDWATER ENCOUNTERED SEPTIC TANK: 440 GPD X 2 DAYS - 880 GALLONS TEST PIT I PARENT MATERIAL: PROGLACIAL OUTWASH ELEVATION - 138.3 +- PERC AT 78 in : 2 MIN/INCH IN C SOILS USE EXISTING 1000 GALLON SEPTIC TANK IF IS SOUND STRUCTURAL CONDITION. IF NOT. INSTALL 1500 GALLON SEPTIC TANK (MINIMUM ALLOWED) DEPTH SOIL USDA SOIL SOIL COLOR : SOIL OTHER DISTRIBUTION BOX: USE 3 OUTLET D-BOX. (INCHES) HORIZON TEXTURE (MUNSELL) MOTTLING - 0-2 0 WOOD LOAM 10 YR 2A NONE FRIABLE SOIL ABSORBTION SYSTEM: A 33.5 ft x 12.5 ft x 2 ft LEACHING GALLERY CAN LEACH Abot - (33.5 x 12.5 ) - 418.75 sf 2-4 E LOAMY SAND 10 YR 4/1 NONE FRIABLE A s d w - ( 33.5 + 3 3.5 + 12.5 + 12.5 ) x 2 - 18 4.0 s f 4-12 A SANDY LOAM 10 YR 4/4 NONE FRIABLE A t o t - 602.75 a f Vt 0.74 x 602.75 - 446.03 GPD 12-40 B LOAMY SAND 10 YR 5/6 NONE LOOSE USE A 33.5 ft x 12.5 f t x 2 ft GALLERY. Vt - 446.03 GPD > 440 GPD REQUIRED 40440 C MEDIUM SAND 10 YR 6/3 NONE LOOSE GROUNDWATER LEACHING GALLERY CONSTRUCTION DETAIL ADJUSTMENT WIGGINS CONCRETE 500 USE H-20 UNITS EXISTING GROUNDWATER LEVEL GALLON PRECAST DRYWELL BASED ON BARNSTABLE GIS EQUIVAILENTNG NIT OR DEPARTMENT RECORDS STONE OBSERVED GW: 38.0 8'-5-x 4'-I0-X 2•-9- INDEX WELL: SDW-253 2 ft EFF. DEPTH 33.5 ft ZONE: B LA READING: MARCH 2O04 LEVEL: 50.6 ADJUSTMENT: 4.8 f t u? O O O O O O ADJUSTED GW: 42.8 N T cti N O TE S — N M 1) GARBAGE GRINDER .NOT ALLOWED WITH THIS DESIGN 4.0 8.5 8.5' 8.5' O 2) ALL LINES TO BE SCH 40 PVC AND PITCH AT 1/8 INCH PER FOOT MINIMUM. 33.5 ft 3) ALL COMPONENTS INSTALLED SHALL MEET THE MINIMUM REQUIREMENTS OF MASSACHUSETTS TITLE 5 SEPTIC CODE (310 CMR 15) 4) INSTALLER TO VERIFY LOCATIONS OF ALL UNDERGROUND UTILITIES BEFORE :EXCAVATING FOR SYSTEM. 5) EXISTING LEACH PIT TO BE REMOVED ALONG WITH ANY CONTAMINATED SOILS. WHICH ARE TO BE REPLACED WITH CLEAN MEDIUM SAND COMPACTED IN PLACE. 6) ALL STONE TO BE DOUBLE WASHED AND FREE OF IRON. FINES AND DUST IN PLACE 7) LINES EXITING D-BOX TO RUN LEVEL FOR 2'-O'. BEFORE. PITCHING DOWN SEWAGE DISPOSAL SYSTEM PLAN 8) ECO-TECH ENVIRONMENTAL RECOMMENDS THE -INSTALLATION OF LOW FLOW FIXTURES -TO SERVE EXISTING DWELLING AND APPLIANCES. AND BIANNUAL PUMPING OF THE SEPTIC TANK 9) SYSTEM IS NOT DESIGNED TO WITHSTAND VEHICULAR LOADING. DO NOT RODNEY & MICHELLE TAVANO PARK OR DRIVE VEHICLES OVER SEPTIC SYSTEM. 10) INSTALLER TO OBTAIN DISPOSAL WORKS °PERMIT BEFORE STARTING WORK. IIO HOLDER LANE W. BARN$TABLE. MA 11) SEPTIC TANKS SHALL BE INSTALLED LEVEL AND TRUE TO GRADE ON A LEVEL ECO-TECH ENVIRONMENTAL STABLE BASE THAT HAS BEEN MECHANICALLY COMPACTED AND ON TO WHICH SIX INCHES .OF CRUSHED STONE HAS BEEN PLACED TO MINIMIZE UNEVEN SETTLING 43 TRIANGLE CIRCLE SANDWICH MA 02563 1 2) SEPTIC TANK TO BE PUMP-ED '.DRY,-AT TIME 'OF. SYSTEM REPAIR AND CHECKED -FOR STRUCTURAL INTEGRITY. INSTALL PVC OUTLET TEE FITTED WITH GAS BAFFLE. ETE-1625 APRIL 23 2004 2/2 •. ,• � .. . .. •20•MMMIUM•OR,AS INOICATEU ON PLAN ~, i ' w `� *F 4 •1 fi it `• NOTES: ;• sJ ' sJ' '+. 0'MWBIt1M 1. ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.Q.E. is J TITLE 5 THE TOWN OF�• f�',B,lc�N:;1.�/4GFc RULES AND :Ji ., /y�Q± REGULATIONS FOR THE SUBSURFACE DISPOSAL OF SEWAGE; " '• .J ` to. ,wrr �2 ,i I + AND THE REQUIREMENTS OF THIS PLAN. ��•v 2. ALL COVERS TO SANITARY UNITS SHALL BE BROUGHT TO •� WITHIN 12" OF FINISHED GRADE. r 3. ALL MASONRY UNITS USED TO BRING COVERS TO GRADE V WK�1/e PP in SHALL BE MORTARED IN PLACE ♦•Pat Ma+. 4. ALL COMPONENTS OF THE SANITARY SY5 TEM SHALL BE CAPABLE Y:• r r� J+ ��'+ �o>r FX4 LAMO• OF WITHSTANDING H-10 LOADING UNLESS THEY ARE UNDER OR ro ti WITHIN 10 FT. OF DRIVES OR PARKING AREAS, H-20 LOADINGSHALL BE USED UNDER OR WITHIN 10 FT. OF DRIVES ORr� PARKING.q 4V-0'UQUID i / • 5. CAST IN PLACE CONCRETE TEES ARE SPECIFICALLY DISAPPROVED.�1+E SANITARY TYS WHERE INDICATED ARE REQUIRED. lFvfl DISTRIBUTION 6. EFFLUENT PIPING FROM DISTRIBUTION BOX SHALL ENTER LEACH PIT BOX THROUGH SIDEWALL OR TOP ONLY. ENTRANCE THROUGH MASONRY `¢ EXTENSION WILL NOT BE ALLOWED. LOCATION MAP /OOLIDALLON SEPTIC TANK I} ! 6' l z 7. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEED g RESTRICTIONS OR ZONING REGULATIONS. OWNER/APPLICANT SHALL OBTAIN SUCH DETERMINATION FROM THE APPROPRIATE AUTHORITY. SEWAGE DISPOSAL SYSTEM PROFILE BOTTOM OF TEST HOLE 8. HORIZONTAL AND VERTICAL CON E£ LEVY, ELDREDGE NOT To SCALE & WAGNER FIELD NOTEBOOK # CURRENT ZONING INTERPRETATION: DESIGN CALCULATIONS: MIN. FRONT SETBACK 30� FEET NUMBER OF BEDROOMS FEET J MIN. SIDE SETBACK GARBAGE DISPOSAL UNIT MIN. REAR SETBACK /�` FEET TOTAL ESTIMATED FLOW (.110 GAL/BR./DAY X 3 BR.) GAL/DAY REQUIRED SEPTIC TANK CAPACITY y 1 GAL / ACTUAL SIZE OF SEPTIC TANK Z2 GAL L--or /� try PERCOLATION SOIL TEST LEACHING AREA REQUIREMENTS ��/f SIDEWALL AREA 2.5 GAL/S.F. DATE OF SOIL °�� BOTTOM AREA 1.0 GAL./S.F. / � �� y ; LEACHING CAPACITY (BOTTOM + SIDEWALL) GAL WITNESSED BY , 27T((�}/2)(6)(2.5) +Titb/2) (1.0) 5�9cAL PERCOLATION RATE MIN./INCH RESERVE LEACHING CAPACITY OBSERVATION HOLE 1 OBSERVATION HOLE 2 SAME r y ELEV.--LSO EL.EV.- BREAKOUT CALCULATION: AM L,.. I17 _' -- LEGEND: - - `�''--' FiIV 1� ' e EXISTING SPOT ELEVATION OOXO ' -'4 jfV O EXISTING CONTOUR-------00----- ,� i FINAL SPOT ELEVATION FIN LTEST OURIT LOCATION 41 I 31y WATER AT ELEV. Z, ..0 WATER AT ELEV.. TOWN WATER W W /s SEPTIC TANK p DISTRIIYU11ON BOX 0 N PRIMARY LEACHING PIT 0 RESERVE LEACHING PIT O WATER LEVEL ADJUSTMENT: TEST DATE ,4 111,4 3 / Z2 kQiu. se lrc, s t, WATER LEVEL #0. MOTE RE l5ED H uSE slec CF INDEX WELL * INITIAL ISSUEWATER LEVEL RANGE ZONE DESCRIPTION B ~ *. DEPTH TO WATER LEVEL FOR INDEX WELL SITE PLAN & SEPTIC DESIGN � FOR THIS MONTH 70 / ..�)6 &�/�Y1"ER RILL L,OT//& WATER LEVEL ADJUSTMENT 41,4 . LEMASSACHUSETTS DEPTH TO HIGH WATER ! . (r.7 DFAl °9° PF6JkPlERbEVr .ilkSCALE: I = fit JOB NO.��2 /SPL.AN 4,... ! ., STEPHEALLYNU WILSONAPPROVED: BOARD OF HEALTH �' 1 41 - (50 y/ I VA f A r) No.30216 co �����tsT-r ��1A _.. . LEVY, ELDRME & AAGNER AMICIAM INC. SITE PLAIN - _ _ _ b �_ . _. DATE AGENT Lmmemm HAM L/ID aft=m 1 G dt 889 WEST MAIN STREET CENMVIUIS MA 02632 *NOTE: ALL PIPES ARE TO BE 4" SCHEDULE 40 P.V.C. VENT PIPE (0 Least 24 inches tall) 8�1P u [hcuse to se fr� Septic t�k covers nvust � scheduIe 40 Pvc rr/cr,arcaal odorFaLEACH TRENCHES CROSS-SECTION (1 TOTAL Existing Foundationseptic tank S TOF ELEV 100.00 (Assumed) wltftkt 8 in. or finished groda Grade over Septic Tank- 9t1.50 Grade over 0-Bon- 92.00 FinMh Oros. fHr 9e 00 �4 S - 0.02' 3 HOLE H-10 r of t/r-1/1' pF \y n 10' NEW DIST BOX r errs wo h d Stan. $ 5-0.10 or 1 %` 9 Greater OR GREATER toot 1 Perforated P.VC '< 4 tm dear B t FRUt f�DLWATATI[)1 0)PTPKE EPTIC GAL. ' to 25' 1 knort 0"-9s.2e C,, fqR SEPTIC TANK " H-10 «) .g 5' o /4-tk'wud,.a Stan. 4 - Bottom of teach FocRy Sov.-93.2e ��5�'O\ I TES p"� aP j - M M. Qh - 3/4--t•waded Store '� 6 Q' CONCRETE FULL 4D N r rn 74 oagoAW store \n o o ! r e Note All leach Bn..to a Dapped at code r/1'VC cope. 3 PROMDr� 4-perforated P.v c SYSTEM PROFILE a in.of 3/4`-1 1/2' o 'o' Batc«„w Twc Ha.,o..-ea.,s NOT T SCALE S�a�� compacted stone LOCUS M A P Not to scats n LEACH TRENCHES B In.of 3/4'-1 1/2` NOTE: .ALL COMPONENTS MUST HAVE RISERS TO NATHI�1 6' BELOW GRADE compacted stone GENERAL NOTES 1. Contractor,is responsible for Digsafe notification and protection of all underground utilities and pipes. I 2. The I septic�tank and distri ution box shall 'be set ALL OUTLET was FROM THE level on 6 of 3/4"-1 1/2" stone. TYPICAL 1500 GALLON SEPTIC TANK SET max " • 0014�TE 3. Backfill should be clean sand gravel with no SET LEVEL FY)Ft AT LEAST 2 FT. stones over 3 in size. NOT TO SCALE "- - s- s'71u;t 2 4. This system is,subject to inspection during installation 1°'0O by Carmen E. Shay Environmental Services, Inc. 3-2e DIAX ACCESS MANHOLES as• t2• 5. The contractor shall install this system 'in accordance with Title V of the Massachusetts state code, the approved plan 1tT -s' _ and Local Regulations. := :,c 1�s. 6. If, during installation the contractor encounters any 4' - SCH. 40 Te 1,75• soil conditions or site conditions that are different :) �: ' PLAN SECTION CROSS=SECTION from those shown on the soil log or in our design f6-: / 1installation must halt & immediate notification be t f made to Carmen E. Shay - Environmental Services, Inc. II,µ -- ; - 3 HOLE H-10 DISTRIBUTION BOXp THE ACCESS COVERS FOR THE SEPTIC TANK, 7. No vehicle or heavy machinery shall drive over the ` DtSTRIBUTION BOX AND LEACHING COMPONENT NOT TO SCALE septic system unless noted as H-20 septic components. _ TSHALL RAISED TO NATHIN 6` OF8. Install Tuf-Tite gas baffles or equals on all outlet tee ends. t .•.. :x ?: a..�:, ., - FINISHED GRADE. _ STEEL REINFORCED PRECAST CONCRETE INSTALL TUF-TITE GAS BAFFLES OR EQUALS EXISTING CESSPOOL TO BE PUMPED OUT & 9. All Distribution Lines shall be 4" diameter Schedule 40 NSF PVC pipes. PAN VIEW ON ALL OUTLET TEE ENDS FILLED IN PLACE OR REMOVED TO FACILITATE NEW SEPTIC 10. All solid piping,`tees & fittings shall be 4" diameter SYSTEM INSTALLATION LOT #132 Schedule 40 NSF PVC pipes with water tight joints.' 3-2s•REMOVABLE s 11. Municipal Water is Connected to The Residence and Abutting NOTE: ANY STRIPPED OUT SOIL CONTAINING LEACHATE . -:•. ...-_ -•�..ti 4. --:, r;; Properties Within 200 Feet. mh.clearance - • - •• - FROM THE EXISTING CESSPOOL TO BE DISPOSED mfn. 2'min. Inlet to outlet s. OUTLET 'r OF AS PER BOARD OF HEALTH SPECIFICATIONS.. - NOTE-- - THE.PROPERTY LINES ARE APPROXIMATE AND ,o-�ti. " _ COMPILED ,FROM THE SURVEY PLAN GENERATED BY s -7• Ltww depth ,s _r WHITNEY'& BASSETT, SURVEYORS. OF BARNSTABLE. MA 4'-0•min. a.are. ^ b Failed �� ENTffLED " PLAN OF LAND IN BARNSTABLE, MA" (JUNE, 1963) P Leach it � � '� LC 14034-H SHEET #1 (Approx.) AND IS NOT INTENDED TO BE A SURVEY PLOT PLAN ttr-o' s' -s' Pr 40 Mill Liner To Extend IT SHOULD BE USED FOR NO PURPOSE OTHER THAN I MOO' � CROSS SECTION END-SECTION 1 ,-_ From Elev. 96.00 to 93.00 THE SEPTIC SYSTEM INSTALLATION. 2' 74 and 10 feet beyond foundation � .; 4, 4" PVC THERE ARE NO WETLANDS WITHIN 200' OF THE PROPERTY. 10� 4-Bo r x's �e Y`- '�' Vent Pip ------------- _TAT HOLE #1 LEGEND ELEV.= 99.15 I f 5 6' DECK L-_.-_ _ - ------ --- DENOTES PROPOSED PERCOLATION TEST -- o (,,� 104x1 SPOT GRADE g a Dote of Percolation Test: JUNE. 17, 2004 NEW 1500 in,septic Tank X 104:46 DENOTES EXISTING Test Performed By. CARMEN E. SHAY - R.S., C.S.E. EXISTING SPOT GRADE Results Witnessed By. WAIVER ( Per Barnstable B.O.H.) 0 4 BEDROOM EXCAVATOR: Shay Environmental Services, Inc. 0o Percolation Rate: Less Than 2 MPI 0 42" Below Land Surface HOUSE ASPHALT PL PROPERTY LINE LOT #143 #130 DRIVEWAY rr nl Test Hole 5' 0 6 PROPOSED CONTOUR No. 1 (Drive Under) DEPTH SOILS ELEV. a - - - - - -97 EXISTING CONTOUR 0 99.15 i' �.\\ PORCH \ p 98 'no �1 n DEEP TEST HOLE & FILL . � ------ o�,\\ � � o PERCOLATION TEST LOCATION 0'-20' 97.48 PROJECT BENCH MARK Sand TOP OF FOUNDATION `� a [?� • • 6 FOOT STOCKADE FENCE ,o YR S/a ELEV. = 100.00 (Assumed) • `� 3 - ii,^'l 20'- 42' Be 95.65 LOT #144 ` `� ASSESSORS MAP 291 PARCEL 99 � ^y Medium 1 v Q Sand 10,007 Square Feet t/- 1a 2,5 Y 7/4 �• 42'- 1 Ch (1� � ►��' I P LOT P LAN Perc #, OF PROPOSED SEPTIC SYSTEM UPGRADE Depth to Perc: 42" to 60" 90.00 `U Perc Rate= Less Tha 2 MPI PREPARED FOR Groundwater Not Observed No Observed ESHWT E D WA R D S K O L E R ADJUSTED H2O Elev. = None t AT �s�rs TOL A V�NC,r.� # 130 BRISTOL AVENUE (40' Wide Public way) HYAN I V I S, MA Design Calculations Number of Bedrooms: 4 Equivalent to 440 Gal./Day NA OF PREPARED Y: Garbage Grinder: No o`'� R E gcyG /�/B��N E. �Htl Y Leaching Capacity Required: 330 Gal./Day Minimum per Title V. Septic Tank : - 2 x 440 Gal./Day - 880 USE NEW 1,500 GAL. ,Septic Tank. E. CA RlYl SOIL ABSORPTION AREA: Using percolation`rate of <2 min./inch 0 20 40 50 • � ENVIRONMENTAL SERVICES, INC. Proposed Leaching Trench Dimensions: 1 TRENCH - 4' Wide by 74' Long by 2' Depth. _... �© P.O. BOX. 627 Bottom Area: 0.74 gal/sq. ft. x 296 sq. ft. _ 219.04 gallons LOCAL UPGRADE VARIANCES REQUESTED: G►STER sArv►TAa�a� EAST FALMOUTH, MA 02536 Sidewall Area: 0.74 gal./sq. ft. x 304 sq. ft. = 224.96 gallons SCALE' 1" 20' 1., Request a varaiance to reduce the distance from the SAS to the TEL f FAX 50$-54$-0796 Providing: = 444 gallons Foundation from 20 feet to 15 feet for Maximum Feasible Compliance. Use: 1 TRENCH- 741 by 4'W x 2'D EACH A 40 Mil Rubber Liner to Be installed as Shown. SCALE: 1"=20' DRAWN BY: CES DATE: JUNE 19, 2004 PROJECT#SD591 FILENAME: SD591 PP.DWG SHEET 1 OF 1 _ i I