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HomeMy WebLinkAbout0024 INDIGO LANE - Health 24 Indigo Lane -- - - Marstons Mills A= 098-058 i 2 I TOWN OF BARNSTABLE LOCATION ZA 1#4016 L.iJ• SEWAGE#Z0Z'1 IZI E M A Q VILLAGE ^^ SSOR'S MAP&PARCEL cP INSTALLER'S NAME&PHONE NO._ g• &txe- Co. a 1 — SEPTIC TANK CAPACITY LEACHING FACILITY: (type) 5Q0 eaC,l}AIn,6eg!�S (size) (Z•�3 x 33. NO.OF BEDROOMS OWNER .�.1 ' Ls PERMIT DATE: .4 l$ 1 ZI COMPLIANCE DATE: 5 2i Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility I I 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 r—O 0CAe C. A [� 1 S° Z31f y '� 38° g75 No. � Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS ' Yes 2ppfication for Misposal 6pstem Construction Permit " Application for a Permit to Construct( ) Repair 0,6—upg'ade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. ;L4 X&VI GCO W Owner's Name,Address,and Tel.No. _ Assessor's Ma /Parcel �Ai►1E C-01VN�P Tpos 1 P70 ;m p ��&tee.ta4 t-)S cL4.6, Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. 0�09-;1_73-6�1'Zj Type of Building: Dwelling No.of Bedrooms 4 Lot Size 4 sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided 4 ss,- ,_ gpd Plan Date 4 L( -01®3.i Number of sheets Q Revision Date Title 7.q _r Ojwft L"6 Size of Septic Tank t,,OO (!j*44AU Type of S.A.S. 3 d &GL9> Description of Soil Gg 0Aa_-,6 5€d.a3 �t $� Nature of Repairs or Alterations(Answer when applicable) U5G— UV= h7 426-w t>-/i01G Tn BUD r ) 1&34QWpC <im 4ud3 ak 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 B regeal Signed Date Application Approved by Date 7 o)-) Application Disapproved by Date for the following reasons Permit No. Q� oZ-) Date Issued �7` J t• —77. ,. � 144 No. r �/'- J Fee �© THE COMMONWEALTH OF MASSACHUSETTS Entered in compur: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 2pplication for Misposal *pstem Construction VPrmit N Application for a Permit to Construct( ) Repair )%t ade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. .Z X&VI CZO W �Vr Owner's Name,Address,avd Tel.No. 7 Assessor's Ma /Parcel �' 3zjC G—(A0Vr7—,1 TI'oSZc-le 1 P7C—FAflo A1TR, p $ SB P4 -41—OM70 LN U SlraWtL4., Installer's Name,Address,and Tel.No. 309-477-F 8`t Designer's Name,Address,and Tel.No. 308-.1.7 3 -Q 3 7-j Aooka t O ouk. &4j 3c �:-1U6r1NE-0UN5r SWG 34 46 76r 5 P-4-M 5 YAAJtcvUW f HwY E, k.P"6 Type of Building: (,(� - Dwelling No.of Bedrooms Lot Size 31. 9 3 a'-sq.ft. Garbage Grinder( ) Other Type of Building IZ�tDEs�ICf/�-(� No.of Persons Showers( ) Cafeteria( ) Other Fixtures L' Design Flow(min.required ') � 4o gpd Design flow provided 4 S!;,:L gpd Plan Date L4", /"f -a 0 fit.( Number of sheets ( Revision Date Title aq :r Nn l G--O COW& 0S70ZVl LL, Size of Septic Tank P S Of) t., -U)AJ Type of S.A.S. L3 S uD 1t�G.L,Ob.1 [fib Description of Soil M60 COAP-56 n� (�"' J 5�� FL4A Nature of Repairs or Alterations(Answer when applicable) U 5 rp pew D-13O Le 7b (3 5UD �(,cC^CIuJ l.�NE.tiF1tiC. �N�uct3 b2s !,�c4,1Sc�1JlcJalsUGr- 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 .eaalth. Signed( Date "' �U`,1. Application Approved by Date 1J` � c-1 Application Disapproved by Date for the following reasons r Q Permit No. Date Issued r C3 f --------------------------------------------------------------------------------------------------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS certificate of Cornpiianco THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired V<) Upgraded( ) Abandoned( )by R086�vc- U C p, at Dt:-K1D leo C,+A)E 4,S7Z%Vt44 --5 has been constructed in accordance p /ro / 1 with the provisions of Title 5 and the for Disposal System Construction Permit No-� /-/r�l dated `� I g/ Installer C`U�T &' 0oP_- f Designer TG �t/�J�.lkn- #bedrooms Approved design flow �40 gpd The issuance of this permit shad not be construed as a guarantee that the system 1 fur�cti�n si°gned. Date J�r/f A / Inspector Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION -BARNSTABLE,MASSACHUSETTS �IB�IDSaY �pstEtn �Dtt�trULtloIl �errttit Permission is hereby granted to Construct( ) Repair(x) Upgrade{ ) Abandon System located at o1 x!J-p(G U I-A,\)Z m h , and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. f Provided:Construction must be completed within three years of the date of this permit. Date �l c �,i Approved by C t '—�- Town of Barnstable Regulatory Services Richard V. Scali, Interim Director • iARNSY'ABLL. M" Public Health Division. �ECC Thomas McKean, Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer& Designer Certification Form Date: 5-5-21 Sewage Permit# Assessor's Map\Parcel 98/58 Designer: _SG Engtne-erin5� Installer: Robert B. Our Co., Inc. (RBO) Address: ZBSy Cron\oe.rry �Iiklnu�a y_ Address: 363 Whites Path Ea54 wa.re,�%am 4.4 d 2_53 8 South Yarmouth, MA On -A i ZI RBO was issued a permit to install a (date) (installer) septic system at 24 Indigo Lane based onadesign-drawn by (address) -:TG En Siane�<<r19 } ThG, dated 4-4-21 (designer) — X 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. Strip out (if required) was inspected and the soils were found satisfactory. 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. Strip out(if required) was inspected and the soils were found satisfactory. I certify that the system referenced above was constructed i lance with the terms of the I\A approval letters (if applicable) n„11 r�gssgyG CHURCHILL JR (Installer's na re) CML 41 A� (D ner's SignatueVARNSTABLE (Affix De 1 p Here) PL r'SERETURN TO PUBLIC HEALTH D :: SION. 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:\Septic\Designer Certification Form Rev 8-14-13.doc 8 Commonwealth of Massachusetts Executive Office of Environmental Affairs rr r { Department of Environmental Protection One Winter Street, Boston MA 02108 (61 n 292-5500 0 O0 r J TRUDY COXE Secretary ARGEO PAUL CELLUCCI DAVID B.STRUHS Governor Commissioner SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION Property Address: 241n&go Lane, Ostemlle, MA Name of Owner: Elizabeth Warner Address of Owner: Same Date of Inspection: April 1, 2000 Name of Inspector: (Please Print) lames M.Ford I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000) Company Name: lames M. Ford Mailing Address: P.O. Box 49, Osterville, MA 02655-0049 Map. 098 Telephone Number: (508)862-9400 Parcel. 058 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 Eval n By the Local Approving Authority ails Inspector's Signature: Date: April25. 2000 The System Inspector shall s copy of this inspection report to the Approving Authority(Board of Health or DEP)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. NOTES AND COMMENTS revised 9/2/98 Pagelof11 'Printed on Recycled Paper SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 241ndi90 Lane, Qatemlle, MA Owner: Elizabeth Warner Date of Inspection: April 21, 2000 INSPECTION SUMMARY: Check A, a C, or D. A. SYSTEM PASSES: ✓ I have not found any information which indicates that any of the failure conditions described in 310 CMR 15.303 exist. Any failure criteria not evaluated are indicated below. COMMENTS: B. SYSTEM CONDITIONALLY PASSES: One or more system components as described in the "Conditional Pass"section need to be replaced or repaired. The system,upon completion of the replacement or repair,as approved by the Board of Health,will pass. 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 tank is replaced with a complying septic tank as approved by the Board of Health. 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) 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 revised 9/2/98 Page 2of11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 241n&go lane, 0sterville, MA Owner: Elizabeth Warner Date of Inspection: April 21, 2000 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 the public health, safety and 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 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 ANY)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 1 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 revised 9/2/98 Page 3of11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 24 Indigo Late, OstemHe, MA Owner: Elizabeth Werner Date of Inspection: April 21, 2000 D. SYSTEM FAILS: You must indicate either"Yes"or"No" as to each of the following: I have determined that one or more of the following failure conditions exist as described 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. beP Liquid thin cesspool is less than 6 below invert or available volume is less than /z der flow. — — q 1� Y _ — 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 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. 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. E. LARGE SYSTEM FAILS: 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 H of a public water supply well The owner or operator of any such system shall upgrade the system in accordance with 310 CMR 15.304(2). Please consult the local regional office of the Department for further information. revised 9/2/98 Page 4of11 f SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 24 Indigo Lane, Osterville, MA Owner: Elizabeth Warner Date of Inspection: April 21, 2000 Check if the following have been done: You must indicate either"Yes"or"No"as to each of the following: Yes No ✓ _ 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 for signs of sewage back-up. ✓ _ The system does not receive non-sanitary or industrial waste flow. ✓ _ The site was inspected for signs of breakout. ✓ _ 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 conditions 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: ✓ _ Existing information. For example,Plan at B.O.H. r ✓ _ 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)]. ✓ _ The facility owner(and occupants,if different from owner)were provided with information on the proper maintenance of SubSurface Disposal Systems. revised 9/2/98 Page 5of11 I_ SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 24 Indigo Lane, Oster-ille, MA Owner: Elizabeth Warner Date of Inspection: April 21, 2000 FLOW CONDITIONS RESIDENTIAL: Design flow: 110 g.p.d./bedroom. Number of bedrooms(design): 4 Number of bedrooms(actual): 4 Total DESIGN flow n/a Number of current residents: I Garbage grinder(yes or no): n/a Laundry(separate system)(yes or no): No; If yes., separate inspection required Laundry system inspected(yes or no): No Seasonal use(yes or no): No Water meter readings,if available(last two year's usage(gpd): 1999-67,000 gals.:1998-48,000 gals. Sump Pump(yes or no): No Last date of occupancy: Currently occupied. COMMERCIAL/INDUSTRIAL Type of establishment: Design flow: gvd(Based on 15.203) Basis of design flow Grease trap present: (yes or no) _ Industrial Waste Holding Tank present: (yes or no) Non-sanitary waste discharged to the Title 5 systems (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: None on file-per treatment plant. System pumped as part of inspection(yes or no): No If yes,volume pumped: gallons Reason for pumping: TYPE OF SYSTEM ✓ Septic tank/distribution box/soil absorption system Single cesspool . Overflow cesspool Privy Shared system(yes or no) (if yes,attach previous inspection records, if any) I/A Technology etc. Attach copy of up to date operation and maintenance contract Tight Tank Copy of DEP Approval Other APPROXIMATE AGE of all components,date installed(if known)and source of information: Sep. 17193-per as built card. Sewage odors detected when arriving at the site: es or no No � g g (Y ) revised 9/2/98 Page 6of11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 241n&go Law, Ostemlle, MA Owner: Elizabeth Warner Date of Inspection: April 21, 2000 BUILDING SEWER: _ (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: 16" 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: 1500 gal. Sludge depth: 3" Distance from top of sludge to bottom of outlet tee or baffle: 29" _ Scum thickness: 4" Distance from top of scum to top of outlet tee or baffle: 5" Distance from bottom of scum to bottom of outlet tee or baffle: 13" How dimensions were determined: Measuring stick 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.) The tees were present. The liquid level was even with the oadlet invert. There were no signs of leakage. GREASE TRAP: None (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.) revised 9/2/98 Page7ofll L SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 24 Indigo Lane, Osterv0e, MA Owner: Elizabeth Warner Date of Inspection: April 21, 2000 TIGHT OR HOLDING TANK: None (Tank met 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 present: 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: Even Comments: (note if level and distribution is equal,evidence of solids carryover,evidence of leakage into or out of box,etc.) The box was level, and there were no suns of solids or leakage. PUMP CHAMBER: None (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.) revised 9/2/98 Page 8of11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 24 Indigo Lane, Ca ervflle, MA Owner: Elizabeth Warner Date of Inspection: April 21, 2000 SOIL ABSORPTION SYSTEM(SAS): ✓ (locate on site plan,if possible;excavation not required,location may be approximated by non-intrusive methods) If not located,explain: Type: leaching pits,number: 1-6'x 6' 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 failure, level of ponding,damp soil,condition of vegetation,etc.) . The pit had 6"of water on the bottom. The soon line was I'up from the bottom. There were no signs of failure The bottom to grade was approximatety 8'. CESSPOOLS: None (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: None (locate on site plan) Materials of construction: Dimensions: Depth of solids: Comments: (note condition of soil,signs of hydraulic failure, level of ponding,condition of vegetation,etc.) revised 9/2/98 Page 9of11 L - SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 241ndigo Lane, Osterkile, MA Owner: Elizabeth Warner Date of Inspection: April 21, 2000 Map: 098 Parcel:058 SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent reference landmarks or benchmarks locate all wells within 100' (Locate where public water supply comes into house) i [0- a Al- I Li (o Aa- S �a 3 A3- r63- aa' '4y- 3S revised 9/2/98 Page 10ofII f SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 24 Indigo Lane, Osterville, MA Owner: Elizabeth Warner Date of Inspection: April 21, 2000 NRCS Report name Soil Type Typical depth to groundwater USGS Date website visited Observation Wells checked Groundwater depth: Shallow Moderate Deep SITE EXAM Slope Surface water Check Cellar Shallow wells Estimated Depth to Groundwater 33 +/- Feet Please indicate all the methods used to determine High Groundwater Elevation: Obtained from Design Plans on record Observed Site(Abutting property,observation hole,basement sump etc.) Determined from local conditions ✓ Checked with local Board of Health Checked FEMA Maps Checked pumping records Check local excavators,installers ✓ Used USGS Data Describe how you established the High Groundwater Elevation. ( lust be completed) The bottom of the pit to grade was approx. 8'. Using the Barnstable topographic map and water contours map, the maps were showing approximately 33' +/-to groundwater at this site. Using the Cape Cad Commission Technical Bulletin, the high groundwater adjustment for this site(Ml W 29, Zone C, 3100)was 3.9'. This report has been prepared and the system inspected and passed as of the date of inspection. This report is not a warranty or guarantee that the system will function properly in the future. There have been no warranties or guarantees, either expressed, written or implied, relating to the system, the inspection and/or this report. revised 9/2/98 Page 11of11 � TOWN OF BARNSTABLE LOCATIOI�o��I ndtlq0 L/� SEWAGE # qa^ q0 VILLAGE-- �'1. 1N,IlS ASSESSOR'S`MAP &LOT INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY /saO n LEACHING FACILITY: (type) VAT (size) (i X NO. OF BEDROOMS 11 � BUILDER OR OWNER C k 11-t Zkb N W) 01 t,r PERMITDATE: 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 within 300 feet of leaching facility) Feet Furnished by 3 Ack 13 Al , Iy (o a3. I 0 a. ► OL A3- as to 63' as Ay " 35-, 3 y N09'a............ / Fimz / 0......... P W j / THE COMMONWEALTH OF MASSACHUSETT BOAR® OF HEALTH TOWN OF BARNSTABLE Vpfiratiun for MipaiiFaf Workii Tanatxnrttun ramit Application is hereby made for a Permit to�onstruct ()4) or Repair ( ) an Individual Sewage Disposal System at• o ......................... cationr ddreSs or Lot No. ---------------------------------------------------- Owner ............................................ Address Installer Address +A I Q�� Type of Building a Size Lot____- -I)...`.....•........Sq. feet �-� Dwelling—No. of Bedrooms...............`....._.....__...__.___.....Expansion Attic ( o Garbage Grinder a Other—T e of BuildingN fr......... No. of persons............................ Showers — Cafeteria Other fixtures ---- ---•-------------------------------•---•----•- ------------------------ W Design Flow......................��.. gallons per person er day. Total aily flow__._......._._. ...................gallons. W Septic Tank—Liquid cap�rt ...gallons Length-�_�... Width... .� ?__. Diameter __... Depth- l ®...... y�� x Disposal Trench—No ........�. ..._._ Widt�.t._..`�---------- Total Length.........t.....a... Total leachinrea.._.......•.._....Eq. I &f r1 Seepage Pit No........... ......... Diameter...._ ---__ Depth below inlet...r�- ...... Total leaching area..(, 7..sq. ft. Z Other Distribution box ( ) Dosing to ( )r '~ Percolation Test Results Performed by--------- n�i-�1_.1. �YS: Date..©.1.707i-i"8..1.Z......... a Test Pit No. 1......_.n.. minutes per inch Depth of Test Pit.i3............. Depth to ground water.- cnec'.MP(k f=, Test Pit No. 2....... per inch Depth of Test Pit---1.3. ...... Depth to ground water......................... a' ................. Description of Soil.....� ..YI� ....! o,�..:....Q:P..' .�a.l. darnntSu►bSO. -0 13�0 j ,zd�ur�n C� s� %.A �e TE _.�'1P�� Ro, O:c -3 i - A.. d S 3,_ �- W •----••-•-•------Yl�ec�7urnO � ?c�xsc ---�car,d 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 Enviro ode—The undersigned further agrees not to place the system in operation until a Certificate of Com 'ance r sue t e of health. Sign ---`- ----- .� Dare Application Approved By .............. �'.`-r``.....,------------------------------------------------------------------------- `� Dace Application Disapproved for the fo owing reasons- ---------------------- - - ---------------------------------------- ----------- ------------------------------------- . ...................... i_x_ .... ---------------------------------------------------------------------- -----f---n------ Permit No. .-- ......... Issued -------- e TOWN OF BARNSTABLE ASS �y`�- LOCATION j ��,� SEWAGE VILLAGE _N • t ASSESSOR'S MAP LOT II' INSTALLER'S NAME & PHONE NO \raaWNO SEPTIC TANK CAPACITY LEACHING F I ACIL TY:(type) (IV (size) f""f— NO. OF BEDROOMS PRIVATE WELL OR BLIC�WATE�R -j� UILDER _ R OWNER DATE PERMIT ISSUED: al IGj 3 = - DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No �/ br ` ",:' No.- y . ............ r ' FEs.......L�a...... P 71717 THE COMMONWEALTH OF MASSACHUSETTS --� BOARD OF HEALTH TOWN OF BARNSTABLE I ration for Dispuiia1 Workii Tomitruriion ramit Application its hereb made for a Permit toConstruct (A or Repair ( ) an Individual Sewage Disposal System at .... ..., . . .......... L"ocati� ddres or Lot5. n...._. l Offs GA� ...... ........................................... O ner Address a ..................................... .._ ........................................... ......................... .........•-�--•.......... Pq Installer Address 2 C� d Type of Building - 1 Size Lo .........i-33.....Sq. feet aDwelling—No. of Bedrooms........................................Expansion Attic ( >��O Garbage Grinder Pk Other—Type of Building .., A&..___.__. No. of persons............................ Showers ( ) — Cafeteria ( ) P.I Other fixtures . `h...............•• •-•------------•-----.....------------....--•--------...---------•--••-------------------........-•-•---------•------ W Design Flow.......................��_�?____._.gallons per person per day. Total daily flow................................gallons . I 1:4 Septic Tank—Liquid capacity��._.gallons Length_��.-_ ��_ Width.-+-C?.. Diameter---N_1A..... Depth.��.r...... I I tilt Disposal Trench—No. ...... � ...... Width__�__..il..._._._.. Total Length______________(�__ Total leachinglarea.._._._..._.._._`.__s_ ft. �le��11 Seepage Pit No...........I--------- Diameter..... _-C�..... Depth below inlet...r�:b...... Total leaching area..77:. sq ft. Z Other Distribution box ( ) Dosing tank ( )/ '-' Percolation Test Results Performed b ......... nh-�1xlierC �a_ aA ® -- a Y -.:. ---•----- •............. �:--------------------- Date-------,---��-c-�--Z------... � ` 14 Test,Pit No. 1_...... --_._minutes per inch Depth of Test Pit.i3_ __.__.�. Depth to ground water..! ?*Anct�n ter�d G>:, Test Pit No. 2.......�__._minutes per inch Depth of.Test Pit... :L?__._.. Depth to ground water........_'!............ P4 ... . .....................................1------..z -•-------...d............----.j---•---•----•------•---•---....:•_---•--._.._...t.k.�---_-'-�••--_-.-.- O 1f! lescrptonoo -- ..:.... ........... ....................... Oa 1 U Ca�tXS ` ......--_Tc�f--h.01e...."7r-'a...-------Q ca---......... r.;_I.cx r► c�_+�d.SJ,�IaS = i 3 5' ���-�� .. UW .................. :.urn_.. a.__c...carse-...S..r,d----------•-------------------............................................................................................----------------------------------------•-----------------------........--•----------------- 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 Envirogmer-ta-Code—The undersigned further agrees not to place the system in operation until a Certificate of Coin iance has' ,iecr'ssued'�y h-e boar- of health. Sign- ----- -- ----------------- Date Application Approved BY ....... �owing ems..-. ;,,------------------------------------------------------------ ---------- ..�...o-.��..� -� Dare Application Disapproved for the fasons: ...................................................................... ....... ......... ...............................................................�^-------- ---- --- ---- ------------------------------------------------------------------------------------------......_ Dam ---'---y'----------------------------- Permlt No. � Issued -........ _ f/�.... � THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE V \ ertifirate of V-II>tylianre THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) ........... ..... --_ .....•- - --- ... has beJ installed in accordance with the provisions of TITL of The State Environmental Code as described in the application for Disposal Works Construction Permit No. �r --r'.. .�/J+tt. � dated ................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATEC .. .. Inspector... --------------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH / TOWN OF BARNSTABLE q, No. r �..r......... FEE....:../ .......,......... Disposal Worko T omitr i.on t an it Permission 's"hereby granted------------------------------------------••--------•----•-••----•------..•.........-•-•---------•--•--•-------••---••--•...._............... to Constru`ct�( r Repair ) an Individual Sewage Disposal System- " A ))) at No.•-- ...... ._� ...- -' ... see --------•-- as shown on the application for Disposal Works Construction Permit ;o _ /_ ?Dated.__.��j;_._"'� ' .., •��� �...� ya v Q __...._' �oard of Health DATE-------•--�.!':'�'__� '`-�--....------•---- FORM 36508 HOBBS 6 WARREN,INC.,PUBLISHERS FINISH GRADE OVER D-BOX 153.6'± T.0 F. EL.= FINISH GRADE OVER CHAMBERS 53.2' - 53.5' GENE�AL NOTES SLOPE @ 2%MIN. OVER SYSTEM 3/4!'TO 1-1/2"DOUBLE WASHED PROVIDE EXTENSION RISER REMOVABLE WATER-TIGHT COVER OVER STONE TO CROWN OF PIPE I. UNLESS OTHERWISE NOTED,ALL SYSTEM COMPONENTS AND CONSTRUCTION WITH COVER OVER INLET& RISER TO WITHIN&'OF FINISHED GRADE INSPECTION PORT WITH ACCESS METHODS SHALL BE IN ACCORDANCE TH TITLE 5 OF THE STATE NVI ONMENTAL FINISH GRADE OUTLET TO WITHIN 6"OF F. 4!'SCHEDULE 40 PVC BOX TO F.G. (SEE NOTE 21) 2"OF 1/8"TO 1/2"DOUBLE WASHED K E _5"DIA. OUTLET(S) FILTER FABRIC CODE AND ANY APPLICABLE LOCAL RULES. @ FND. EL.= 54.4'± F.G. OVER TAN L. 541.2'± MIN SLOPE 1% STONE OR GEOTEXTILE 2. ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD OF HEALTH AND THE PLACE RISERS ON ALL DESIGN ENGINEER. PROPOSED4!' TOP OF sAs 51.03' CHAMBERS WITH 9,MIN. 9'MIN. /,---EXISTING 4" 36 MAX. 3. 4"SCHEDULE 40 PVC PIPE WITH WATER TIGHT JOINTS SHALL BE USED IN DISPOSAL SCH.40 PVC 50.20' 36'MAX. INLET PIPES TO SE14,!E-P PIPE 1 1 BREAKOUTEL= 50.70' SYSTEM UNLESS OTHERWISE NOTED. SEWER PIPE WITHIN 6"OF F.G.­� 3"DROP MAX 4. TO PREVENT BREAKOUT, I HE PROPOSED FINISHED GRADE SHALL NOT BE LESS THAN 31' go L--47 ± LEVATION =50.70' ORADI TANCEOF15'A 2"DROP MIN MIN.SLOPE @ 1% PROVIDE WATERTIGHT JOINTS (TYP.) 40 MIL GEOMEMBRANE LINER IS PLACE AT LEAST FIVE FEET F OM A.S. AND HE F ��4; VC IN FROM to, SEPTIC TANK 4!'PVC OUT TO 0 00 D 0 THE LINER IS NOT LESS THAN THE BREAKOUT ELEVATION. L LEACHING FA ILITY k_j(D 00 5. SLOPE ALL SOLID PIPE AT 1.0%MINIMUM. CONTRACTORITO PROVIDE E= SPECIFIED DROP BETWEEN 00= 6. THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE DISPOSAL. INLET AND OUTLET ,CONTRACTOR CONTRACTOR SHALL OUTLET TEE 50.60' MIN. 50.43 21 ED 00 F___1 C"C> SHALL VERIFY SIZE 48- VERIFY CONDITION OF 'D CDC) 7. LOCAL BOARD OF HEALTH AND DESIGN ENGINEER TO BE NOTIFIED PRIOR TO BACK 00 F) AND CONDITION OF EXISTING TEES GAS BAFFLE 6'CRUSHED STONE C=pc:� C) FILLING WHEN SYSTEM IS NEARLY COMPLETE AND READY FOR INSPECTION. SYSTEM IS EXISTING SEPTIC AND REPLACE AS OVER MECHANICALLY 001 CD NOT TO BE BACK FILLED WITHOUT FIRST OBTAINING APPROVAL FROM BOARD OF HEALTH TANK NECESSARY COMPACTED BASE AND DESIGN ENGINEER. 4.0' 8.5' (TYP) -4.9 i 14.0' 5 OUTLET DISTRIBUTION BOX 4.83' _49- 6�P.) 8. ELEVATIONS BASED ON APPROXIMATE M.S.L. DATUM. BENCHMARK ELEVATION OF 53.00' TO BE INSTALLED ON A LEVEL STABLE 33.5' ESTA13LISHED ON TOP OF NAIL SET IN TREE AS SHOWN ON PLAN. BASE. FIRST TWO FEET OF OUTLET GROUND WATER ELEV.= < 42.501 48.20 12.83' 9. CONTRACTOR SHALL VERIFY ALL UTILITY LOCATIONS PRIOR TO CONSTRUCTION PIPES TO BE LAID LEVEL. THROUGH DIG-SAFE AT LEAST 72 HOURS PRIOR TO COMMENCING WORK ON SITE AT SMIN.-/ . 3 500 GALLON H-10 CHAMBERS CHAMBER END VIEW 1-888-DIG-SAFE AND ANY OTHER APPLICABLE AGENCIES. REPORT ANY DISCREPANCIES EXISTING 1,500 GALLON CONCRETE SEPTIC TANK CROSS SECTION VIEW TO THE DESIGN ENGINEER. TYPICAL CHAMBER, PROFILE *CONTRACTOF TO VEPIFY EY11STING FILE DISTRIBUTION BOX DE"FAIL ELEVATION PRIIOR,TO ANY�Pv"ORK SEPTIC TANK PRO' H-i 0 CHAMBPER DETAILS 10. ALL JOINTS WHERE PIPE ENTERS AND EXITS CONC.STRUCTURES SHALL BE MADE WATERTIGHT. NOT TO SCALE NOT TO SCALE NOT TO SCALE NOTIFY ENGINEER IF DIFFERENT. S NO DETERMINATION HAS BEEN MADE A TO COMPLIANCE WITH DEEDED OR ZONING rfl 7 TEST PIT DATA� REGULATIONS.:OWNER/APPLICANT ISITO OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY. 21-65 3) 0 PERC NO. 12- ALL SEPTIC SYSTEM COMPONENTS SHALL WITHSTAND H-10 LOADING UNLESS INSPECTOR: David W. Stanton(BOH) LOCATED UNDER MORE THAN 3 FEET OF COVER OR LOCATED UNDER PAVEMENT, EVALUATOR: Michael Pimentel, EIT,C.SE DRIVES, OR TRAVELED WAYS IN WHICH CASE THEY SHALL WITHSTAND H-20 LOADING. 13. DOUBLE WASHED CRUSHED STONE SHALL BE FREE OF ALL DIRT, DUST AND FINES. C.S.E.APPROVAL DATE:�Oct. 27, 1999 4) 771 DATE: March 22,2021 14. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL LOAM, SUBSOIL AND UNSUITABLE f /ONE 11 MATERIAL IN AREA BENEATH AND FOR 5 FT. ON ALL SIDES OF LEACHING FACILITY. TEST PIT 2 REPLACE ALL UNSUITABLE MATERIAL WITH CLEAN COARSE SAND FREE FROM CLAY, 53. ELEV TOP 5U FINES OR OTHER UNSUITABLE MATERIAL IN ACCORDANCE WITH 310 CMR 15.255(3). (2 2 ELEV WATER <42.59 15. CONTRACTOR SHALL NOTIFY DESIGN ENGINEER OF ANY DISCREPANCIES FOUND IN -56 0 SITE CONDITIONS FROM THOSE SHOWN PRIOR TO CONTINUATION OF WORK. PROPOSED THREE(3)500 PERC RATE GALLON H-10 LEACHING 16. , PROPOSED PROJECT IS LOCATED WITHIN: MAP 98 �0^1 DEPTH OF PERC CHAMBERS w/STONE Iwo ASSESSOR'S MAP 98 LOT 58 LOT28 TEXTURAL CLASS: I OWNER OF RECORD: JANE GIA�NETTI,TRUSTEE OF THE P.J.G. FAMILY TRUST d ADDRESS: 24 INDIGO LANE z z i Oil 53.50' OSTERVILLE, MA 02655 th HCA l_3 OCI 1�c Loamy Sand A L I OYr 3/2 FEMA FLOOD ZONE X - 1 to U') 1 1 52.50' of " 1zl 04 COMMUNITY PANEL# 25001CO544J DECK 53x2' V 17. DEED REFERENCE: L.C.C.#175401 f I MAP 98 Loamy Sand LOT 56 B 1 OYr 5/6 18. PLAN REFERENCE: L.C. PLAN NO.25575-D PROPOSED INSPECTION PORT #24 19. ALL DISTURBED AREAS SHALL t5t Kt,-j I ORED TO ORIGINAL CONDITION. XISTING z 50.50' E 53x3' 20. PROPERTY LINE INFORMATION IS ONLY APPROXIMATE. THIS PLAN IS TO BE USED ONLY 4-BEDROOM FOR SEPTIC SYSTEM UPGRADE. JC ENGINEERING WILL NOT ASSUME ANY LIABILITY DWELL NG j FOR USES OF THIS PLAN OTHER THAN,ITS INTENDED PURPOSE. 21. A 4" PERFORATED SCH.40 PVC PIPE ALL BE PLACED IN A VERTICAL POSITION TO A S� Pi SWING-TIES SCALE: I"=20' 0 53x5`_ Med. to Coarse Sand HC-2 REMOVABLE THREADED CAP SHALL BE PLACED ON THE TOP TO ALLOW FOR INSPECTIONS. HCA C L DEPTH OF THE BOTTOM OF THE SAS AND EXTEND TO WITHIN 3"OF FINISH GRADE. A DESCRIPTION ED PROPOS 2.5Y 616 TP DISTRIBUTION BOX Benchmark 22. OWNER If APPLICANT I CONTRACTOR SHALL BE RESPONSIBLE TO OBTAIN ANY AND ALL CORNER OF STONE(1) 394 34.6, MAP 98 Nail Set in Tree REQUIRED PERMITS AND APPROVALS FOR THIS PROJECT. LOT 29 53x5' N\ ' P Elev. =53.00' CORNER OF STONE(2) 44.6 47.4! Approx. M.S.L. LOCUS PLAN 15A CORNER OF STONE(3) 75.2' 60.5' N, 10" 1 52x6' SCALE: V'= 1000' 132" 42.50' CORNER OF STONE(4) 72.2' 51.1' % No Mottling, Standing or Weeping Observed it 0 TEST PIT DATA STUMP DESIGN DATA LEGEND PERC NO. 21-65 (TYP) 50xO' i EXISTING SPOT GRADE DECK '�EXISTIt,!;G LEACHIING PIT TO INSPECTOR: If David W.Stanton(BOH) BE PUr-1PE0, FILLED%%u' NUMBER OF BEDROOMS(EXISTING) 4 50 EXISTING CONTOUR D EVALUATOR Michael Pirnentel, ETT,C-S-E I SAND &1%,6AN, ONED I i Lj NUMBER OF BEDROOMS(DESIGN) -4 CLEAN C E. APPROVA Oct.27, 1999 50 PROPOSED CONTOUR S. L DATE' DESIGN FLOW 110 _GALIDAYABEDROOM March 22,2021 DATE : r501 PROPOSED SPOT GRADE EXISTING 1,5500 GALLON TOTAL DESIGN FLOW 440 GAUDAY #24 TEST PIT#: EXISTING SEPTIC ANK TO BE GAS EXISTING GAS LINE DESIGN FLOW x 200 % 880 GAUDAY 4-BEDROOM LITILIZED IN DESI'N ELEV TOP 53.50' MAP 98 LOT 30 DWELLING USE EXISTING 1,500 GALLON SEPTIC TANK ELEV WATER <42.50' E/T/C EXISTING UNDERGROUND UTILITIES PERC RATE 2 min./inch* -W-W- 1 EXISTING WATERLINE If If MAP 98, it DEPTH OF PERC C soil 7 LOT58 'INSTALL 3 - 500 GALLON H-10 CHAMBERS W/ STONE TEST PIT LOCATION 31,939+S.F. TEXTURAL CLASS: I EXISTING 1,500 GALLON SEPTIC TANK SIDEWALL CAPACITY (LENGTH + =0 WIDTH) (2SIDES) (2' HIGH) (0.74 GPDIST�.) GALIDAY (33.5'+ 12.83')(2) (7) (0.74 GPD/S.F.) 137.1 GALIDAY off 53.50' PROPOSED 4"SOLID SCHEDULE 40 PVC PIPE MAP 98 Loamy Sand 5o I Pj 'A PROPOSED H-1 0 DISTRIBUTION BOX IN, R:A LOT 59 1 OYr 3,12 -so 4� BOTTOM CAPACITY 52.50' so *T� so- (LENGTH x WIDTH) (0.74 GPD/S.F.) GALIDAY z�\ C2 Cj PROPOSED 500 GALLON H-1 0 LEACHING CHAMBER i� I:Z MAP 98 X (33.5'xl2.83') (0.74GPD/S.F.) 318.1 GAUDAY LOT 57 Loamy Sand I OYr 5/6 TOTALS: 361 REV. DATE DESCRIPTION C0 1% 3 50.50' TOTAL NUMBER OF CHAMBERS Perc PROPOSED SEPTIC SYSTEM UPGRADE TOTAL LEACHING AREA 615.1 SQ.FT. 49.00' TOTAL LEACHING CAPACITY 455.2 GAL./DAY PREPARED FOR: /52- ROBERT B. OUR CO., INC. NOTES: Med. to Coarse Sand gro C 2.5Y 616 LOCATED AT EDGE OF EACH 0 1.) MAGNETIC MARKING TAPE SHALL BE PLACED ALONG THE TOP SEPTIC SYSTEM COMPONENT. 24 INDIGO LANE 0, OSTERVILLE, MA 02655 2.) CONTRACTOR SHALL VERIFY SOIL CONDITIONS IN THE LOCATION OF THE irg -0 PROPOSED LEACHING FACILITY TO ENSURE CONSISTENCY WITH TEST PIT DATA SCALE: 1 INCH 20 FT. DATE: APRIL 4, 2021 SHOWN ON THIS PLAN. REPORT TO ENGINEER AND LOCAL BOARD OF HEALTH IF SOILS 132" . 42.50' OF 0 10 20 40 80 FEET ARE NOT CONSISTENT WITH TEST PIT DATA. No Mottling,Standing or Weeping Observed 3.) PROPERTY IS LOCATED WITHIN THE GROUNDWATER PROTECTION OVERLAY JOHN L PREPARED BY: It DISTRICT, MASS DEP APPROVED ZONE 11 AND THE ESTUARINE WATERSHEDS. ' RESERVED FOR BOARD OF HEALTH USE Perc rate taken from oroinal permit no. lu CHURCHILL JC ENGINEERING, INC 92-422 on record Wth the town of VIL N 41807 Barnstable Board of Health. �854 CRANBERRY HIGHWAY 4.) SWING TIES SHOWN ON THIS PLAN ARE,PROVIDED ONLY AS A COURTESY FOR THE LD PRIOR INSTALLER. INSTALLER SHALL VERIFY SWING TIE MEASUREMENTS IN THE FIE EAST WAREHAM, MA '02538 TO INSTALLING THE SYSTEM. CONTRACTOR SHALL NOTIFY ENGINEER IF 508.273.0377 SITE PLAN MEASUREMENTS APPEAR TO BE INCORRECT. SCALE: 1 20' Drawn By: MCP Designed By:MCP Checked 1 013 N r MC> Id V _ EL,_ 106_5 z0 mm. TOP OF FOUNDA CONUMTs' COVERS 2 LA YM? OF GROUND EL. . . 05.5As S1bNE --?�-7-7 LEVEL CONCRL�E COCOYERS : PPRO VED: BOARD OF' HEALTH OR SCHEDULE40 Li?3fAX I � ♦ ♦ i ♦ i ♦ v / i / / ♦ i / -.' P.V.C. PIPE j - " PITCH 1`/4 PER FT . 4 SCFIEDULE 40 P.V.C. , LvT S=0.02 D=48* PEE - aaV x FLOW PITCH 1/B PER FT _ PRECAST ` DATE 110 S � 02 A GENT T a� 19- S=O 03 =1 ACHWG EL.- c OR 103.29 D= CRU5f1Z'D a o rqy 5 STOM a 88 y%.8M.8 T W EQUIT'ALENT INVERT' EL.=102 08 11V VE'1? q J 101. 76 Q f 0 EL. � 3 EL._ — o t INTER o S' 3 4" TO 1-1/2" WVER _p .' / . W.�.SHED STONE SEPTIC TANK EL.=101�33 EL.= 101.60 O oc lE0 ' GALLONS a ' EL--95 6 2.5 {-- 6.PIAM. ----� 2.5 LEACH PIT 11 S .RAGE PIPES FROM THE ,S ,S _4 BOTH EWE P --- — — — , HO USE A BOTTOM OF TEST HOLE OR USGS-PROBABLE WATER TABLE '.EL= 91_6 I� OF 07102192 BUILDING TO THE 'SEPTIC 'TANK SHALL BE OFF EQUAL LENGTH & \ SLOPE. THE CONTRACTOR SHALL PLACE IMMEDIATELY O UTS'ME THE PROFILE OF LOT 17 , SEPTIC TANK, A WYE .CONNECTION. s SEWAGE DISPOSAL - SYSTEM NOT TO .SCALE cr jar 'To ALL, ELEVATIONS ASSUMED 06 s r RES ZONE RF � 0 " . LOT 15 p 6 SOIL LOG P#7917 •� N 31, 933� SQ FT. � (") ,PROPOSED CONTOURS 39 2 WITNESSED BY: J DUNNING 0. �3�- ` ACRES p. /� 2 o DATE.= 7, �9'2— —- DATE -=7��19 ——- HEALTH OFFICER � TEST , w TEST HOLE 2 BARNSTABLE HOLE 1 Tt?INN of — -- , ti ` �•a .hT PIT 1 s'; R EL=_ 105.9 EL= 104.6 J .LANDERS-CA ULEY ENGINEER 8 0 4 0 0 J PERCOLATION RATE 2 � INCH LOAM tv `� o LOAM & 0 0 0 0-3 5 SUBSOIL DESIGN DA TA. �. 1 ti - SUBSOIL O ER OF BEDROOMS 4 lb p � I�t•E1MB MEDIUM TO NONE C� MEDIUM TO GARBAGE DISPOSAL I COARSE l COARSE 440 o .ram SAND TOTAL ESTIMATED FLOW GPD `so• 0 o- o� o-. SAND _110 GAL R, A Y x BR O USE AS ( /B /D ) moo,_ 0 / 3.5-13.0 OF 07 02 9, LP'L-9,2. EL-91.6 / SEPTIC TANK CAPACITY _L0�_ 4 TEST v REQUIREMENTS �` / NO . LEACHING AREA R QUIR �� WA TER ENCOUN 7FRE ��� o F '�4ssq SIDEWALL AREA . 17 7 GAL/S.Fez 5 = 432 JOHNs J .o� cy BOTTOM AREA �_ GAL S Fx1.0 = 95 0 , ,c.. I LEY R` - LEACHING CAPACITY ( BOTTOM & SIDEWALL) 52� CAL LOT 16 S PAUL . j 30_ / . A. ` RESERVE LEACHING CAPACITY 5�6 GAL / Na 3?_098 rt= TOP OF CONC. BND. MERITHEW � \ � . . T.B.M. = 103.85 / ,� \\\ 104 /� / R o a� Qt .� GENERAL NOTE',S FE�IST \, p jai �a�ao PROJECT LOCATION. - LOT 15 COR. OF CATCH BASIN \\ 1. THIS PLAN IS FOR INSTALLATION OF NEW SEPTIC. ' INDIGO LANE T.B.M. 100. 00 \ ,: ;c'� / / 0� �g BARNSTABLE 2 PLAN REFERENCE. LAND COURT 25575 D, SHEET 2 1 `S9• i 3. THIS PLAN IS FOR INSTALLATION/ REPAIR OF SEPTIC SYSTEM APPLICANT` JOHN BRITTON AND NOT TO BE USED FOR SURVEYING OR ZONING PURPOSES. \ O 428 8258 4. ALL WYORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.P. LOT 14 , TITLE 5 AND ,THE TOWN OF BARNSTABLE RULES AND REGULATIONS R g FOR THE 'SUBSURFACE DISPOSAL OF SEWAGE. "VACANT" 5. ALL COVER TO SANITARY UNIT51SHALL"BE BROUGHT TO WITHIN YANKEE :SURVEY CONSULTANTS 0 4 49 07102192 12 OF FIN75HED GRADE. P. 0. BOX 265,, 1 3 ROUTE 1 6. EXISTING AND FINAL GRADES SHALL REMAIN EYSENTIALLY THE W ,� .? MARSTONS MILLS', ,MA. 02648 UNLESS NOTED BY FINAL CONTOURS , G�0 508 428-0055 - 508 420--5553 7. ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE OF W.TTHSTANDING H-10 LOADING -UNLESS THEY ARE UNDER �' j�0 10. CONTRACTOR SHALL VERIFY THAT THE CATCH 4 S Y SCALE »_ DATE. OR WITHIN 10 OF DRIVES OR PARKING AREAS H--20 LOADING V 1 -30 9�24�92 BASIN, BY THE DRIVEWAY, SHALL SUPPORT p� H-20 LOADING. SHALL BE USED UNDER OR WITHIN 10'.'OF DRf;TS OR PARKING. R r UNLESS NOTED. REV. REV. 11. THE WATER DISTRICT RECORDS INDICATE A 2 8. ANY MASONRY UNITS USED TO BRING COVERS TO `GRADE SHALL' -1 LINE .EXISTS WITHIN INDIGO LANE. THE BE MORTARED IV PLACE. CONTRACTOR MAY NEED TO UPGRADE THE 9. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH JOB N0. 50192 SHEET 1 OF 1 AP M WATER MAIN WITHIN INDIGO LANE TO SERVICE DEEDED OR ZONING REGULATIONS. OWNER/APPLICANT IS TO LOCATION LOT 15. OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY.