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HomeMy WebLinkAbout0014 KNOWLTON LANE - Health 14-KNOWLTON LANE i - : �MARSTONS MILLS ` G�� 00� THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) I M ^C&L DATA l' NO �� Col ' 1 I� -- r a•� ~; 4rPJ ��A [' �•, ;''�`'fir'` 1 FIT �• t �f 4.. _e w i f i l' { is y •Pt ��� I' 6 !I m Ri I . . .1 i Commonwealth of Massachusetts /v3- D c/o?--043 Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments c� 14 Knowlton Lane r� Property Address h� Cem & Elizabeth Andac Owner Owner's Name information is required for every Marstons Mills Ma. 02648 7/19/2018 0 page. City/Town State Zip Code Date of Inspection * Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Important:When A. GenefiViformation filling out forms on the computer, L y use only the tab 1. Inspector: � ' y•. key to move your cursor-do not Sean M. Jones use the return Name of Inspector key. S.M.Jones Title V Septic Inspection r� Company Name 74 Beldan Lane Company Address Centerville Ma 02632 Cityrrown State Zip Code 774-248-4850 smjonestitle5@gmail.com S14522 Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system: ® Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority 7/19/2018 Inspector's Signature Date The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under . the same or different conditions of use. t5ins.doc•rev.6116 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 17 cam, Commonwealth of Massachusetts Title 5 Official Inspection Form E� Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 14 Knowlton Lane Property Address Cem & Elizabeth Andac Owner Owner's Name information is required for every Marstons Mills Ma. 02648 7/19/2018 page. Cityfrown State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ® I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: The dwelling located at 14 Knowlton Ln Marstons Mills is served by a Title V septic system consisting of a 1000 gallon septic tank, distribution box and 2 500 gallon leaching chambers. The system was found to be in proper working condition at the time of inspection. 13 System ConditionallyP y asses: ❑ 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. Check the box for"yes", "no" or"not determined" (Y, N, ND) for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old"or the septic tank (whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND (Explain below): t5ins.doc•rev.16/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 Commonwealth of Massachusetts {� Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 14 Knowlton Lane Property Address Cem & Elizabeth Andac Owner Owner's Name information is required far every Marstons Mills Ma. 02648 7/19/2018 page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. B) System Conditionally Passes (cont.): ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 14 Knowlton Lane Property Address Cem & Elizabeth Andac Owner Owner's Name information is required for every Marstons Mills Ma. 02648 7/19/2018 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) 2. Systemi will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the.SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from ai private water supply well". Method used to determine distance: **This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate"Yes" or"No"to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than %day flow t5ins.doc-rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments .� 14 Knowlton Lane Property Address Cem & Elizabeth Andac Owner Owner's Name information is required for every Marstons Mills Ma. 02648 7/19/2018 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes" or"no"to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system,is located in a nitrogen sensitive area (Interim Wellhead Protection Area—IWPA) or a mapped Zone II of a public water supply well If you have answered "yes" to any question in Section E the system is considered a significant threat, or answered "yes' in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 Commonwealth) of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 14 Knowlton Lane Property Address Cem & Elizabeth Andac Owner Owner's Name information is required for every Marstons Mills Ma. 02648 7/19/2018 page. Cityrrown State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes" or"no" as to each of the following: Yes No ❑ ® Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ® ❑ Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (if they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ® ❑ Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS) on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ® ❑ Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] D. System Information Residential Flow Conditions: Number of bedrocros (design): 3 Number of bedrooms (actual): 3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330 gpd t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 14 Knowlton Lane Property Address Cem & Elizabeth Andac Owner Owner's Name information is required for every Marstons Mills Ma. 02648 7/19/2018 page. Cityfrown State Zip Code Date of Inspection D. System Information Description: Number of current residents: 1 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes ® No information in this report.) Laundry system inspected? El Yes ® No Seasonaluse? ❑ Yes ® No Water meter readings, if available (last 2 years usage(gpd)): Detail: Sump pump? ❑ Yes ® No Last date of occupancy: current Date Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: t5ins.doc-rev.:6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments J 14 Knowlton Lane Property Address Cem & Elizabeth Andac Owner Owner's Name information is required for every Marstons Mills Ma. 02648 7/19/2018 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Source of information: Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner)and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): t5ins.doc•rev.6116 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 14 Knowlton Lane Property Address Cem & Elizabeth Andac Owner Owner's Name information i;required for every Marstons Mills Ma. 02648 7/19/2018 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known) and source of information: unknown Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 2.5 feet Material of construction: ❑ cast iron ®40 PVC ❑ other :ex lain ( P ) Distance from private water supply well or suction line: feet Comments(on condition of joints, venting, evidence of leakage, etc.): Joints ok, no leaks , vented through roof Septic Tank(locate on site plan): Depth below grade: 2 feet Material of construction: ® concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: 1000 gallons Sludge depth: 6" t5ins.doc•rev.6116 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 14 Knowlton Lane Property Address Cem & Elizabeth Andac Owner Owner's Name information is required for every Marstons Mills Ma. 02648 7/19/2018 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Septic Tank(cont.) Distance from top of sludge to bottom of outlet tee or baffle 3' Scum thickness 3" 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 10" How were dimensions determined? opened covers and took measurements Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tank does not need to be cleaned now but should be done within 2 years and again every 2 years for proper maintenance. Water level was even with outlet, tank was not leaking and was structurally sound. Grease Trap (locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date t5ins.doc-rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 10 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form le Subsurface Sewage Disposal System Form-Not for Voluntary Assessments ' y 14 Knowlton Lane Property Address Cem & Elizabeth Andac Owner Owner's Name information is required for every Marstons Mills Ma. 02648 7/19/2018 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments(condition of alarm and float switches, etc.): *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No t5ins.doc-rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 11 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments �a 14 Knowlton Lane Property Address Cem & Elizabeth Andac Owner Owner's Name information is required for every Marstons Mills Ma. 02648 7/19/2018 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert 0" Comments (mote if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): Distribution box was in good condition, no rot, water level was even with outlet inverts. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No* Alarms in working order: ❑ Yes ❑ No* Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): *If pumps or alarms are not in working order, system is a conditional pass. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 12 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 14 Knowlton Lane Property Address Cem & Elizabeth Andac Owner Owner's Name information is required for every Marstons Mills Ma. 02648 7/19/2018 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ® leaching chambers number: 2 ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Leaching facility was video inspected from d-box and was found dry with no stain lines. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No t5ins:doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 14 Knowlton Lane Property Address Cem & Elizabeth Andac Owner Owner's Name information is required for every Marstons Mills Ma. 02648 7/19/2018 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy (locate on site plan): Materials of construction: Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5ins.doc-rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 14 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form 'n a Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 14 Knowlton Lane Property Address Cem & Elizabeth Andac Owner Owner's Name information is required for every Marstons Mills Ma. 02648 7/19/2018 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ® hand-sketch in the area below ❑ drawing attached separately 0 Z b 3 �3r Lrye f3 Z Y-7 �3 .37 ►33 yy.6 �Y y2 t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17 Commonwealths of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 14 Knowlton Lane Property Address Cem & Elizabeth Andac Owner Owner's Name information is required for every Marstons Mills Ma. ` 02648 7/19/2018 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ❑ Check Slope ❑ Surface water ❑ Check cellar ❑ Shallow wells Estimated depth to high ground water: 12+feet Please indicate all methods used to determine the high ground water elevation: ❑ Obtained from system design plans on record If checked, date of design plan reviewed: Date ❑ Observed site(abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health -explain: ❑ Checked with local excavators, installers- attach documentation ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: Groundwater elevation was determined by accessing Town of Barnstable groundwater contour map. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 c Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 14 Knowlton Lane Property Address Cem & Elizabeth Andac Owner Owner's Name information is required for every Marstons Mills Ma. 02648 7/19/2018 page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection'Summary: A, B, C, D, or E checked ® Inspection Summary D (System Failure Criteria Applicable to All Systems)completed ® System Information— Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 17 of 17 No. c% \~ "1� ,ram_ Fee , / THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: _V Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS 01ppYication for Migonl *pztem Construction Permit Application for a Permit to Construct( )Repair( )Upgrade(i/)Abandon( ) O Complete System lKlividual Components Location Addressor Lot No. !f�, Owner's�Name,Address and Tel.No. Assessor's Map/Parcel .�fQ�s Drys�l�/s Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Type of Building: Dwelling No.of Bedrooms 3 Lot Size yJ�SO6 sq.ft. Garbage Grinder( D Other Type of Building Aleg No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow 313® gallons. Plan Date 9 D/ Number of sheets Revision Date Title /_ 12� /9 Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issuedXb �is d 4 Health. Signe Date / Application Approved by Date Application Disapproved for the following reasons Permit No. C �Dl Date Issued ——--—————————————————————— No. `'�_'. _-- r Re Entered ~ ' Entered in computer: .'+i THE COMMONWEALTH OF MASSACHUSETT -Yes PUBLIC-HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 0[pplication for ;Di!5po$a[ *p,5tem Construction Permit �4 Application for a Permit to Construct( )Repair( )Upgrade(V)Abandon( ) O Complete System If4dividual Components Location Address or Lot No. Owner's eName,Address and Tel.No. Assessor's Map/Parcel 01_31"3 A ZA p �y Installer's Name,Address,,and Tel.No. Designer's Name,Address and Tel.No. _ 7 7/ Type of Building: Dwelling No.of Bedrooms Lot Size 4SS06 sq.ft. Garbage Grinder(140 Other Type of Building 1GPe 1V No. of Persons Showers( Cafeteria(1«.5 ) Other Fixtures Design Flow /M gallons per day. Calculated daily flow 33,01 gallons. Plan Date 9 4 D f s Number of sheets / Revision Date Title 'r&Lo 5-- .,5; l_` ,W ¢ //��w IO/7 �//, , Size of Septic Tank /D�o94' Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) Date last,inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued b , is d of,Health. J Signed � Date Application Approved by Z ri . L. ,LQ .. Date Application Disapproved for the following reasons Permit No. �' L.DI =� Date Issued 9 ?' C, THE COMMONWEALTH OF MASSACHUSETTS ,- BARNSTABLE, MASSACHUSETTS (Certificate of (Compliance THIS IS TO CERTIFY,-that the On-site Sewage Disposal System Constructed( )Repaired( )Upgraded Abandoned( )by AP/1 at /41 � G�fidr/ has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. >l��—,n\ dated 9 1 a c, Installer Designer The issuancJof this permit shall not be construed as a guarantee that the system will function as designed. Date /mil�I Uu I Inspector ) D, Y -----1— ---- ------------ -------------- _ _ _ No. ��_. `� - Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS Mi5poOar *p! tem Conotruction Permit Permission is hereby granted to Construct( )Repair( )Upgrade(Abandon( ) System located at /y X �� and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this pe 'it C . PP Y Date: I U Approved b \�,_k `�L ,. FILE No.462 W/21 '01 AM 10:32 I D URTOLOTT I CONSTRUCTION 425, 9399 PAGE 1 srsnl l NOTICE: This Form Is To Be Used For the Repair Of Failed Septic Systems Only. PERCOLATION TEST AND SOIL EVALUATION EXEMPTION FORM Y 4n.& , hereby certify that the engineered plan signed by me dated 01->concerning the property located at �} 1< i�L: '�I • meets all of the following criteria: This failed system is connected to a residential dwelling only. There are no commercial or busine',s uses associated with the dwelling. The soil is classified as CLASS I and the percolation rate is less than or equal to 5 minutes per inch. The applicant may use historical data to conclude this fact or may conduct preliminary tests at the site without a health agent present. • There is no increase in flow and/or change in use proposed • There are no variances requested or needed, • The bottom of the proposed hitching faciliry will not be located less than fourteen (14) feet above the maximum adjusted groundwater table elevation. LAdjust the groundwater table using the Frimptor method when applicable] Please complete the following;: A) Top of Ground Surface Elevation (using GIS information) � $) G.W. Elevation t� ;adjustment for high G.W. DIFFERENCE BETWEEN A and 13 SIGN E DATE: NOTICE Based upon the above information, a repair permit will he issued for bedrooms n,axirnurn. No additional bedrooms are authorized in the future without engineered eptic system plans. y,hoalth Folder:poreexmr lllw ;I W"I W -2 -LbT&2 SSQR'* .4 ANST��- R'SNAMEAPHONE. NO. Afr v A.C.-U. -Y SEPTIC TAN LEACHING FACU_iT.Y'. '( A (size). --:'77777777 7Z NO.OF BEDROOMS_ BUILDER OR OWNER 0 -COMPLIANCE D PERmrrDATE- is Separation ljistance Between the:,� Groundwater to the Bottom o Maxim m eek :A jgsted Gr V f Leachin*g"'F 46,ity.. Private Water Supply an Well dLe hil­ ac ng Facility qa4 wells existit 0 or Wit nlite'l' hih 200 feet of pac., ng� `8dV of etlan-dL and Leaching ands'*ex-ISC withun feet of I,-c 1in fa cg Y Feet Furnishe d f: j- Ii gU, RN, I It j YYF ROL Ai. 0 1. Li TOWN OF BARNSTABLE LOCATION �� SEWAGE # VILLAGEO ASSESSOR'S MAP Si LOT ca - a ,INSTALLER'S NAME1& HONE NO. l tdg-e 9 SEPTIC TANK CAPACITY �� n f STa�/i(�ize) V LEACHING FACILITY:(type) 3 NO. OF BEDROOMS vim' PRIVATE WELL OR PUBLIC WATER_ � ' BUILDER OR OWNER DATE PERMIT ISSUED: _ f ' DATE .COMPLIANCE ISSUED: � VARIANCE GRANTED: Yes No L6�24 A yy' M 402 0 CA Fizz..........._2u) E THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEA TH ........... .......OF............ .................. Appliration for Di-opaaal Works Tunotrurtion Permit Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal ___0 �ystem at: 4� ................ ........ ... ... ......... ........ ...... .... ............................................................... ca'tio'n...A' r ss or Lo IN - ........ .................. . . .... .... ..... ...... . ............YC....... . ................... ...... C owl A dr S . .............. ........ .... ..... ...................... .. ....... ......... ... ..... ..... ....... ................ ........ Installer ress Type of Building e Lot.. YS'I Sq. feet U --- ----------------Dwelling—No. of Bedrooms.............................................Expansion Attic Zr?age Grinder P4 Other—Type of Building ............................ No. of persons............................ Showers Cafeteria Otherfixtures ................................................................................................................................ Design Flow............................................gallons per person per day. Total daily flow........................ .0........gallons. 9 Septic Tank—Liquid capacity..1.6TT.gallons Length................ Width.............__. Diameter--._--_-_____.__ Depth................ Disposal Trench—No. .................... Width.................... Total Length_..........._._..... Total leaching area....................sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. z Other Distribution box Dosing tank Percolation Test Results Performed by......................................... ---?1.� Date........0.4 t,7 Test Pit No. L. minutes per inch Depth of Test Pi .................... Depth to ground water.._..................... ..........Test Pit No. 2._._t/)_ �__.___n1inutes per inch Depth of Test Pit...._._._._.___..... Depth to ground water...__._._._..._.___..__. ................................................................4........A..............._ ............ ..... -------- 0 Description of Soil........................................................ WI......................................................................................................................................................................................................... U ........................................................................................................................................................................................................ U Nature of Repairs or Alterations—Answer when applicable.............................................................................................. ....................................................................................................................................................................................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System,in accordance with the provisions of TLITLILj 5 of the State Sanitary Code— The undersigned further agre snot to place the system in operation until a Certificate of Compliance has been issued YY the board ea t Signed................. .. ...................... ......... ................ .. .......... . ......... . ... IV /at? Application Approved By-...... . ....... ...... ............... .. ............... .... . . Application Disapproved for the folljowin' easons:............................................................................................Date .............. ......................................................................................................................................................................................................... Date PermitNo._.0U,........................................ Issued.............................. Date 6 ; � r j �J Fss ....... o.-- -..... ?._....... J. ._ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...........1.4)16%7� .......OF............ ..:............ .:... Appliration for Disposal Works Tonstrurtiun Prrmit Application is hereby made for a Permit to Construct or Repair ( ) an SIndividual Sewage Disposal System at: --- ..-: `:. "` iii .:. .. ........ �._.._...» Location s !/- �-.. or Lot No. r .....�........ n f Owner j •' ,r� F s ,J - a �i`✓IItJ.f. ......................................................." r ?`J f �t:..� � �.. _... �„ 9`2 Installer s � .._. VType of Building Sot.....:.�4......�r.....Sq. feet ,. Dwelling—No. of Bedrooms..................:....:....................Expansion Attic ( ) Garbage Grinder ( ) 'L Other—Type T e of Building ______. No. of ersons____________________________ Showers GPI yP g -•--------•---------- P ( ) — Cafeteria ( ) a Other fixtures ................ ... . ... ...... ..... - n Flow Total 04 DSestgc Tank—.Liquid ca acit ..�.��.gallons per Length person per-dayWidt ................ Diameter_______________• .......gallons. W' W P 9 P y J g gDept................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area...................sq. ft. Seepage Pit No____________ ______ Diameter.................... Depth below inlet...............:.... Total leaching area..................sq. ft. z Other Distribution box ( ) Dosing tank ( ) �,�j. Percolation Test Results Performed by___________________ _ �� �/ Date........: .------4�� .. Test Pit No. 1___ ___minutes per inch Depth of Test Pit____________________ Depth to ground water........................ 44 Test Pit No. 2.... ....minutes per inch Depth of Test Pit.................... Depth to ground water......................... a ............................................................ .......................................... 0 Description of Soil........................................................ , ......... �,._.. �.............................. ------------------------ ___------------- -----.. ---------- -T--------------------- •••••-------- •-------- ------- •-••--------------- •------------ -____---•------••-•--------.............._.._... ....-•-------------------------------------•------------------------------------•----•-----•-•-----------------•------------------•----•----...-•-------....------.......-------._...................... V 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 Sanitary Code—.The undersigned further agre s not to place the system in operation until a Certificate of Compliance has been issued by the board of{heap . - + ' Signed.........._........ .. = �- _.... ate Application Approved By...........v ..U..., •--•n----------•- - � Date Application Disapproved for the followin asons_______________••____-•--.._...__________...._____.....______------._._..._._.__..-......._...____-----_--...__ --•-•-•--•--•-•-----•-----------------••----........_._...--------•--...........------......-•------.......-----•--..........-----...-------•---------cc-;;--------•--.......�i_..--•--...._....--•-•---- Permit No..... Issued....................................� D ........�._.... ate THE COMMONWEALTH OF MASSACHUSETTS �,._. BOARD OF IEALTH ................fi. ......OF...............A �' ......:..:....f` :...._.................. (Irr#if irate of Tomplianrr t THIS IS TO CERTIFY That the Individual ewage Disposal ystem constructed ( �'or Repaired ( ) p O�Ins taller=.--^y... ......._.... has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Cod as describj in the application for Disposal Works Construction Permit No. �_'__ ................. dated.......... _; =_GI__6_......... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE...................� `...1.`..`.f.?..-•............................... Inspector------... ---------------_-------___-___ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH No. 01.=16) . ................../ 7A...-..OF.-----..-...-.....- ...-�•,- ;!�'................J ,�........... 7 � Fay..... ............. Disposal Works T nutrnrtiun rrrntit �� L, Permiss>o is hereby granted........----•-J-� �-�---?�:.c......��C�`7��" ��t....................................................� ...._.. to Construct) or Repair ( _n Indivi ual Sewage117::. al Syst�n atNo.....�.,A.� .... �' Y.......... .'/.jj.1--•---••---•-•...............................••---••--••-- street �p as shown on the application for Disposal Works Construction Permit NoVA.....(... ated....... _..._ -5......5�..�...... ............. - -----L 4, • ---••---- ......--......................... Board of Health t DATE................................................................................ FORM 1255 A. M. SULKIN, INC" BOSTON TOWN OF BARNSTABLE LOCATION N IZIOW11V,0 41 SEWAGE # Z6V/-- I& VILLAGE fye 51_V&5 10,12 ; ASSESSOR'S MAP & LOT&2-N2A? INSTALLER'S NAME&PHONE NO. ArAP&,,41 SEPTIC TANK CAPACITY LEACHING FACILITY: (type) (size) NO.OF BEDROOMS 3 BUILDER OR OWNER PERMITDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility (If any wetlands exist within 300 feet of leaching facility) Feet Furnished by ��-�- A � - �� �. _ �r �o�s� 6 A a -, � � �` � p� � _ � � o � 6 � = � � � � a ,�. zoNc RF l ` 50" FRGNTHGE 30 i FIeO NT 5 GT'9 AC.- 1S' SiD6 SETt3f��IC �` IV! Rik SET GIk.K Bb E , o L- - $3 ��. ti t- Co LOT 7 i , S . , Jib It • 5 4 3e . 6 -- h ` t , 5 .O a w / 7�' 7 t a vt \ I or 78 a f f SoK. I3 i 2 N� PT ffgJ d� ' y3' Si'_ . °83. 1124,3 8 v j. Po kN0W LToAf 00' NIDE PeiV,4 IANC µ�s h A. r LEVY No. I 17 b - J. LE END { r.XISTINA SPOT ELEVATION Ox0 —' €' -- -- -. CERTI �ItD v :XI'�iTINB CONTOUR 0 '�� LAN rIN18NVD SPOT ELEVATION - - 'INI3HED CONTOUR 0 L 0 T 8 ��va wc.TaV G#ivE €OT4: The_ location of any existing uhdi�_rg^otmd sewerusu, -- cells, or other utilities shown on this plan i-; approx- I N �/119PSToi.J M/L(.5�, .mate only as dtterm.ined from records and/or .verbal �,q;P/1/STi9,8LE I��.. , .nfbrmation. 'rive contractor is responsible for the ) 1 verification of the existing locations in the field. SCALE, / = 'i�0 ' OATE.� 9125 8(0 1 LEVY & ELDREDGE ASSOCIATES, INC. CLIENT.�!rc�v�r� S I . CERTIFY THAT THE PROPOSEDM1 ENGINEERS- LANDSCAPE ARCHITECTS JOB N0. ,.1633 BUILDING SHOWN ON THIS PLAN PLANNERS LAND SURVEYORS DR.BY ,,q CONFORMS. TO THE ZONING LAWS OF BAe�j M AS 712 MAIN STREET Chi. BY 2- HYANNISt MA38. SHEET_/— OF .Z... DAT R LAND* SURVEYO /YO.TE_ = /F E/TNER THE SEPT/C TANK,- OR. '` , 20 FT. M//V. LEACH//YG PIT ARE MORE THAN /2"JELOIoV ' ID rT• M/� GRAOE�A 24'O/A W.T.ER. C0NCR•11F7.4 CONER A"ALL B.E BROUGHT TO•GRAtDE.�AN EXTRA 'ONCRCTE 4IPVC P/Pt hIEAVy CA ST/A OW CO{iL�R SHALL DE USEO EL. 8�e• O M/N. P/TCN !F/N .PR!VEWAY - _ COYE/GS PEiQ FT. . 2 MiK. CQNG.E'€TE A _ g4off CO✓ER CLEAN .SANG f _ . BACXF/LL IL ♦ L/� /l7 LEVEL 2 4„CA_' LAYER IRON �/PLt 100d GAL. • ,� • ` • ';a Of /� _J�E' M/N.P/7140 D/ST. o • • . •• ► s WA SHE& STONE SEPTIC TAAIX . • • • . • • • • • a s • • • • 8 • • • • • � .•� • . i Stu to 8E • • •Ef-FECT/VL • • 3�f - 92~ i °� • vv , •• Dl.`PTt/ ; + •o WA5,VED STONE. x2.S _377. S&PD a . • • • • • , ., . o o A //3 Y /.O • a. • • • • . • • • • v PREG45T SEEPAGLr lAIV,CAT L'LEYAT/ONS Prs CWPACM) a 4g0.S GPD O �.• • • • • • • • • a o P/7 OR EQU/V. INVERT AT DU/LD/NGO_FT. L j-r DIAM. INLET SEPTIC Ti4NK 80� ,to FT _ _l'�FT O/i4!►?. C(SEE T.4BL/LATJON� . OUTLET SEPTIC TANK 8�•Q�FT. - INLET D/S7R/Bl/T�DN BOX�Q FT. SECT/ON OF GROuNo J�fITER Ti4BLE OCITLETD/STR/B[!T/ON BOX 79lo Q_FY, t /NCET L EACHING PIT Z2, Fr SE1�VAGE O/SPOSAt SYSTEM - AelJLATlD/V LEACH//VG 0/7' D/HENS/ON A S' -FT. DIES/GM CR/TERIA B NUMBEF, oJF BEORoOMS 3 D/HENS/aN C S FT. GAReAG.C-v/SPOSAL UN/T SO/L LOG i TaTAL E'ST/),-JAreD Ft0ry 9.3 o o a o,4L../ Y SOIL TETS Al SOIL 71='ST#*2 Sa/L TEST Nu"ezl? of L,E°Acg1,v6 P/7-S_/ fFc��!�2,ya fl—A-4,FV. _ 0ATE OF SOIL TEST •SfE2�8 S/LE 4•L.4C H/NG PER P/T / —SQ, FT. oi_Z� -roPsott RESUL-TS h//TNESSED dY 7A�1 490T7"O/+t L..6ACNJNG PER P/T�$Q. FT $t s✓CIL .a4,P6oVCO4^TIDN RATE ,*/ 4 2 M//VIINCM TOTi1L LEACH//YG AREA l!o vS•Q, FT. '� '' ? RCOL/4T/ON RATE f�2 M,/N.�lNGH R,ES� FT. �Rt�EGEfsCN/NG ARE/'► LL`>'_SQ. SAND ,SOT �C'�oWLTOn1 I� LEVY & ELDREDGE ASSOCIATES. INC. ' t�L.70•yO 71Z Mil//Y ST. ,. /NYA/VN/S. MASJ•. YYATtR EYt/C07tNTEREO.._.-__.• le,47F�7Y: (� GR 0 U"Z? yvA TER AT EL EV z'o N C- R.F BkVr-at rr c.A L�!4'�7pti( ..,. �. , x Ir0 = 8.8r � 1o3D ,. 5b'! FRcn�-rw vE . so FRONT S ETB PCy i 15'; SIDE sETapkc(- .. , s Y , o 1-0T 8 3� 145 4�0 / 02 V). M o LET 7 �� 1 . /• M � �! ; i i I 17 _ 4 ae / '7 i q 7e i sF I W 78 ti Gaa SrAQK OL I 80 \ '3!33s' '\ i seY yltlZ pie. y241,38 ' I .. ::�:�o y / kivakl LTah( 00' WOE pkiV,4 rc) Lpn1C' I' �NorM o LEVY �t u No. 1 617 y L E END a 4 { :XIOTING SPOT ELEVATION Ono —' :XIbT1iVfJ CONTOUR --- 0 --- CERTI LIEU yi LAN. ; r1NiSHVD SPOT ELEVATION tiN13HED CONTOUR 0 LO re Wz r6A/ bq?VE''. 1M: The: location of any ex.istin'g undergeom d sewurai;u, rel is, or other utilities shown on this plan is apprux- MILLS :mare: only as determined from records and/or verbal ��PNSTi9,6LE Mom, LnOrmatiun. 'rite cuntractor is responsible for the lerification of the existing locations in the field. SCALE, I �t/0'. DATE ,.91 8�0 LWY & ELDREDGE ASSOCIATES, INC. CLIENT.N�C" S 1 CERTIFY. THAT THE PROPOSED' "GIJOB NO. �163-3 BUILDING SHOWN ON THIS FL AN PLAN EERS LAND LANDSCAPE ARCHITECTS ' I CONFORMS TO THE ZONING LAWS PLANNERS• LAND SURVEYORS DR.BY A I OF -Bpew 8(.E. M A S 712 MAIN STREET CH. BY, L� _ NYANNIS, MASS. SHEET.../— OF ..2.. AT �R LANO•- SURVEYO /1lOTE ` '/F E/TN&R Ts/E SEPTIC TAN/C OR:. 1 20 FT. MIN CEAG/I//VCa P/T ARE ,iVOR& 7F'N*9N /2"46ELOW /O fT M/N' SR^OEM A 4?41'O/AM E'T.ER.:.C0NCR•.E771S COVER •• SJN/4LL eE BROUGHT:-TO,GI�A�.E.�i4!✓ EXTRA �¢•PYC PIPE EL 86`� O CONCN&7 /'lEA.YY CAST/ROW COV4 -TA1,44L L3E USED MIN. P/TCN /FIN .OR/VE1VA y '. GOYEXS �B'PFR FT 2 MiN CO/VCR2.'�TE A ,•a _ d .4oE. CO N'ER ` CLEAN .SANG eACXF'/LL " LQ[!/D LEVEL RONS/PE 1Q 0 dam MIN.P/TC/V GAL. � •`• 1 � • • • � . � �• of I� ��Q •. ! • • • e S,,wPT/C TAA'A D/sT. • • . • • . • • • • WA SHED S7nNE • _�: BOX a r � 8 • . • • • � .�• • tv��40 BE • • • EFFECT/VG' r ` . •� 3�e+- / �2r °� , •. Its DLPT/+l • • 1 . • WASAF.0 STGNE. ''/'' /5/x 2.S 377. S&PO • • . r . • • . • r r o . 'L. I13x O /t 3.0 6 PD i a, r • . • • • • r • p .® OR EQL//V. PREC14.5T SEEPAGE /IVVCAT Zr4RVAT/O/VS Trr CA-PALM) _ g90.S GPD • I.• r r • • • • • r • o P/T INVERT AT OU/LD/NG 80,4 0 FT.. G�: D/AM. INLET SEPTIC TANK 9.ZO FT,: -1Z FT. 0/AM. C,( E T�4/�T10N� OUTLET•SEPT/C -rANH 80,O Q FT, r INLET D/STi4/BI/T1OI✓ BOX]9 8 0 FT. SECT/ON OF GROuNo WfITf.4 TA/fLE. OUTLETDISTf 1B4I'T/ON BOX 79.L,2FT S�yVAGE �JSf�OSA L SYSTEM /"LET LEACNIMG -9.4QFT. LEACH//VG .p/T TALTULAT/D/V I DIMENSION A S' DES/6N CRITERIA 3tAL E �4 a / - D 'olmkN3I0N $ FT. D/ ES/O TNUMBER OF 3 . GARBAGE D/SPD S.IL UNIT iUONF SOIL LOG SOIL TEST TOTAL EST/MA"T'eD FL0*4/ -7,30 0.44.1,oAy SOIL TEST ,*/ SOIL 7X:S7-40�2 /S(UMBE,P OF LL`ACNING P/TS_I �EtEI!$2.gd e4ry _ DATE OF SOIL TEST S,/Jf 2,/9 SIDE LG'ACHING PER PIT / SQ, FT. 0'-2' -TOPSOIL. RESULTS H/ITNF_SEED BY 7a/ 1 "e- kS,14AI 90T770/yf•Lr-,ACN/NG P-xR PIT 'w. A'T• � S�!S::c��- ,�A_A^44 CO.CAW0/V -VA 7-0At � 'L MI"IJNCH TOTAL LEACHI/YG AREA 1.lo SQ, FT. IhCOLC1 RESt L(o� 2'-3' C�a�/ �rs•.�.�t.'.b�if! `.• R vE G Efi L'/+�I NG ARE/a SQ F T. _ 3 -t2 11D �. o/L '� 5789 rNrt� , -o SOT 8 ��OWLTOAJ LANE j, i �,. LEVY & ELDREDGE ASSOCIATES INC. i EL, 70•fIO 712 MAIN Sr.. , hlyo9 IAIIS, MASS. . _ { No GigMwp-GPi47,&R t VC'crV v7*EJ�-`O -Q R GO LINO LVA TER AT 64 Ei/ . n �a r TOP FNDN. AT EL. 92.6 SYSTEM PROFILE (NOT TO SCALE) ACCESS COVER TO WITHIN 6' OF FIN. GRADE ACCESS COVER (WATERTIGHT) TO MINIMUM .75' OF COVER OVER PRECAST /� WITHIN 6' Of FIN. GRADE 2% SLOPE REQUIRED OVER SYSTEM 90.0' 2' DOUBLE WASHED PEASTONE� I ,- EL. 89.8' RUN PIPE LEVEL '' _ -- FOR FIRST 2' 3 MAX. RACE EXISTING 1000_ r 87.0' LANt GALLON SEPTIC 8$:3'f ITE>r TTANK <H- 1 D ) $6.29' "_. (� CJ �} 0 0 d I^j nC MWMAN ;.: .. B AFL $6.46' aocx' 86.17' 171 0 Q n 0 � M C7 C7 0 4' AROUND c' rt LOCUS 6' CRUSHED STONE OR MECHANICAL ��,5 Q C7 !� C7 C.7 CO C,a C7 COMPACTION, (15.221 123) o25r� 2' Q = C7 C1 EO 0 M � CJ o 84.1_7' >� KNpyyLTpN DEPTH OF FLOW 4, ( 15 % SLOPE) 3/4' TO 1 1/2' DOUBLE WASHED STONEY I _ SNUBAEL POND TEE SIZES INLET DEPTH = 10" LOCATION MAP NTS OUTLET DEPTH - 14„ LEACHING ASSESSORS MAP 103 PARCEL 92-'3 FOUNDATION— EXIST. ---- SEPTIC TANK 12' D' BOX 14 FACT CITY 5 41'f CONTRACTOR TO CONFIRM SUITABLE SOILS FOR MINIMUM 5' BELOW LEACHING FACILITY AT TIME OF INSTALLATION. INVERT OF LEACHING FACILITY MUST BE 79.17' IN SUITABLE SOILS. IF ANY UNSUITABLE SOILS GROUNDWATER EXPECTED AT EL. 43.0'f ENCOUNTERED, REMOVE FOR 5' AROUND LEACHING FACILITY DOWN TO SUITABLE SOIL LAYER. REPLACE BENCH MARK - HYDRANT' WITH CLEAN MEDIUM SAND, ON TAG#1481 EL= 90.5' I L--31.33' R=26.40' : NOTES " S`SO ) . 1. DATUM IS _APPROXIMATED FROM QUAD MAP sr SEPTIC DhSIGN: (GARBAGE DISPOSER Is NOT ALLOWED T1r�Tr'r: �, ��.r• n c c_11(? rpns. _ ._330- PTl 2. P�f.�r�TCIPAL.. WATI R IS XTTIN( , __ f,. r. r. 0....�.. . . - �...._____� _ USE A 3J0 GPD DESIGN FLOW 3. MINIMUM PIPE PITCH TO BE 1/8 PER FOOT. n�6.. 4. DESIGN LOADING FOR ALL PRECAST UNITS TO BE AASHO H 10 SEPTIC TANK: 330 GPD ( 2 ) = 660 5. PIPE JOINTS TO BE MADE WATERTIGHT. 1000 USE A GALLON SEPTIC TANK (EXIST) -_-- 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH . MASS. 1 LEACHING: ENVIRONMENTAL 'CODE TITLE V. IDES: 2(25 + 12.83) 2 (.74) -= 112 7, THIS PLAN IS FOR RAPROPOSED SEPTIC PURPOSE.SYSTEM ONLY AND IS NOT © I q' ��, S TO BE USED FOR }z 25 x 12.83 (.74) - 237 -' �� �' BOTTOM: - 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4' PVC, 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED WITHOUT © TOTAL: 472 S.F. 349 GPD INSPECTION BY BOARD OF HEALTH AND PERMISSION ❑BTAINED +'9G." 91,�_ y t EXIST. + 91F, DWELL � USE 2} 500 GAL. LEACHING CHAMBERS WITH FROM BOARD OF HEALTH. a� \` 4' STONE ALL AROUND 10. PUMP & REMOVE (OR FILL W/CLEAN SAND) FAILED LEACH PIT ® 91.a TOP Of- FNDN 92.6 LOT a 45,506f S. FT. 1.04t ACRES /' �} LEGEND TITLE 5 SITE PLAN PROPOSED SPOT ELEVATION a GAFF. °F 14 KNOWLTON LANE 100X0 EXISTING SPOT ELEVATION �9p.a spy,, IN THE TOWN OF: 100 PROPOSED CONTOUR MARSTONS MILLS) BARNSTABLE >t / C, LLB.?�s + BSI + r �,� 9 6 .. 1 A BQ�V�o 89,9 e 100 EXISTING CONTOUR' PREPARED FOR: BORTOLOTTI CONSTRUCTION/PERRY 6 1 30 0 30 60 90 r� s. ..1 s L=88.00' 0.5 BOARD OF HEALTH R=424.38' f 72 .' g6 --�4 �A MA L SCALE: DATE: SEPTEMBER 6, 2001 85 APPROVED DATE — 30 3 03off 508-362-4541 I fax 509 362-99880 W OF A\` �{ Of hod` AR►NE �� � O ALA y� + Bn,^ down cape engineering, c, o OJALA v o CIVIL v 5.a q 0 0. 26348 2 g 9 CIVIL_ ENGINEERS LAND SURVEYORS (NaL 939 vain st, yarmouth, rya 02675 A.RNE H. OJALA, P.F., P.L.S. DATF 01- 195 71 T