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0135 BERKSHIRE TRAIL - Health
135 BERKSHIRE TRAIL,W. BARNSTABL A= 088 O11 a o 4 TOWN OF BARNSTABLE' LOCATION 13 S 4 e rk Sh►`m Tt)4 1 SEWAGE# VILLAGE.W- 6wrA-S,+zAl$, ASSESSOR'S MAP&PARCEL INSTALLER'S NAME&PHONE NO. I'`{11S a COfkrS Cv n$ , SEPTIC TANK CAPACITY yC<J 5]7g6— Z o O D 61A LEACHING FACILITY:(type) :3 560 C I As,,x 9,6r, (size) !3 X 3 7,S a'�Eez NO.OF BEDROOMS OWNER Gn 4?_r PERMIT DATE: oil D 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 fjFre rc 5!-II?4r 7` 441 L— h �rk3��'re -77 7j 'f7d3 ,V#15 � � � No. �� � Fee THE COMMONWE DiLT_H OF MASSACHUSETTS Entered in computer: a� PUBLIC HEALTH DIVISION - T01N'IV OF BARNSTABLE, MASSACHUSETTS Yes ftpYication for Mtsposal *pstem Construction permit Application for a Permit to Construct( ) Repair(14Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. f 3 J a�r 144Y� i �J Owner's Name,Address,and Tel.No. SO�=_ ,?,;;;— /6 c f -2 O Assessor's Map/Parcel fc>~ 6 5, A S�9/3/-1"4,." L'1�-e Installer's Name,Address,and Tel.No. S'Car 3(' a �0�3 Designer's Nac}Ze,Address,and Tel.N 3 P — G y'dG 9-3 1,Fq r/ /1� — S't v S�r i.H6� � k Gn s h Type of Building:Dwelling No.of Bedrooms � p Lot Size / / sq.ft. Garbage Grinder Other Type of Building oea No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided ? gpd Plan Date l g/ i�1�o Number of sheets /Revision D to Title e 4V Z,"�L' Size of Septic Tank Type of S.A.S. Z 3 L Description of Soil Nature of Repai r Alteraffin, (Answer when applicable) -<'2 Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. 1 ned Date g dZ� Application Approved by Date Application Disapproved by Date for the following reasons Permit No. Date Issued ar� +d ..r.�...,.:ii7.,«�..�..i•+n +yy •� ""� S a'.'x.f` ro ,rc.,EA �`'4 R b*••r.r w't'r"..:x'v.,.7�•�G".»t,,.M1,n �'Cr,a.:y ..,.tti. vw '^rn� � "�, .. 1r K 5.�. 'x'.,. ,err � k✓+�,, . :,` • d .•^ ., "`F No. Y � �,. Fee COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes� THE � PUBLIC HEALTH DIVISION - TOV O BARNSTABLE, MASSACHUSETTS „ 2ppY cation for'misposai *pstem Construction Permit *,,,Application fors Permit to Construct( ) Repair(4�Upgrade( ) Abandon( ) . ❑Complete System ❑Individual Components Location Address or Lot No. + 3 S a�r fLSh i k,, Owner's Name,Address,and Tel.No. Assessor's Mp/Paroel ` Installer's Name,Address,and Tel.No. S C— J& C� �O[�3` Designer's Narpe,Address,and Tel.No�,�rf s — C(..v � -IS ze / 'Type of Building: . vim[ i Dwelling No.of Bedrooms / Lot Size / sq.ft. Garbage Grinder Other Type of Building o!1K"id% 4e- No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 'T y gpd Design flow provided "�. �'� gpd Plan Date Number of sheets Revision Date ./ Title lel,41 p�/D le 466��*1M 4— Z�5!4 �•���2.� 7y ,;)G�/ Size of Septic Tank O Type of S.A.S. /� L�f � j,�`G)t 3• :S` g/3 Description of Soil S,6xe ~� /� ��aN Lrj�N�•L �, �� 2� Nature of Re airIor Alterations(Answer when applicable) <"P-e So o In-t; c Do r 4,1 �4 Date last inspected: Agreement: The undersigned agrees;to ensure the construction and maintenance ofthe afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. , igned Date t Application Approved by Date Application Disapproved by Date for.the.following reasons t r Permit No. [ -"` / Date Issued 24 ~ THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the'On-site Sewage Disposal system Constructed( ) Repaired 4 ) Upgraded( )' Abandoned( )by 1 e.s 8'rof9r r5 CGh S� at "J_AER k S ti T j} has been constructed in accordance with visions of Title 5 and the for Disposal System Construction Permit No, ✓/re[J dated Installer �—/)I I& 6 0-01)4 rSt C G n O Designer �?#:bedrooms lC Approved desi ow gpd The issuance of this pe it shall not be construed as a guarantee that the system wall fun ctio a de d. . jj Date Jr �(I. Inspector No: � Fee At5V Owl) 3.+. / THE COMMONWEALTH OF MASSACHUSETTS } 'PUBLIC HEALTIFDIVISION-BARNSTABLE,MASSACHUSETTS -w ,r BisposaY 6pstem Construction J)ermit Permission is,hereby granted to'Construct( ) Repair( Upgrade( ) Abandon( ) 4 S stem located of�s .3 y S h r � J. f ♦J . and as described m`the above Application for Disposal System Construction Petrrrrt: The applicant recogmzed.his er duty to comply with Titles and the following local provisions or special condrttons 40 jProvided:Construction must be completed within three years'of the date of this pernlit. i v-+ �y{ Date «_ A roved b Town of Barnstable r- Regulatory Services Thomas F. Geiler,Director BARVs LF- Public Health Division `s �. Thomas McKean Director 200 Main Street,Hyannis,MA 02601 0rTce: 508-862-4644 Fax: 508-790-6304 Installer & Desiener Certification Form Date: Z ZoZG Designer: ��-1�ff'N2 ��Gi-Jaa�z L Installer: AWS OrV��%iJ CC,/t,5J � x 7� h D + Xaddress: c "t a I D ao was issued a permit to install a (date) (installer) n ��E;tem. at ��' � /?j-eCJ.C4!P-e Tr,,1' 1 d (,�,.�.5� based on a design drawn by (address) Sc,Jo-zr�3� .vu.��,yyL dated 2 2� 2020 (designer) Ic-eartify that the septic system referenced above was installed substantially according to -which may include minor approved changes such as lateral relocation of the box and/or septic tank. a the septic system referenced above was installed with major changes (i.e. =t 1k►' lateral relocation of the SAS or any vertical'relocation of any component -I= --pie gem}but in accordance with State & Local Regulations. Plan revision or z d 4.as—built by designer to follow. \y6 OF llgsSs. c TANYA yes No. 1095 �ISTEF` SgNl7ARI?' (Affix Designer's Stamp Here) _ O..W RNSTABLE PLTLIC HEALTH DIVISION. CERTIFICATE ' � tT BE ISSU AW ED UNTIL BOTH THIS FORM AND AS- B�` THE BARV-STABLE PUBLIC HEALTH DIVISION. �r 4 = - _- ;= _ 1 �1OWN OF BARTISTABLE LOCATION /--eTr f`7 WOEWAGE # _ VILLAGE W 00-(dam-Rtty--e— ASSESSOR'S MAP & LOT r INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY:(type) -� —{%'�-S i (size) Gd �w }� NO. OF BEDROOMS ATE W OR PUBLIC WATER BUILDER OR OWNER y Q e Hwy DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No `� i -, � � .. � ^� ���` _ � .� f � �' ��s i �a' .. --------------- ;J 140......72.._.7Y 0% , FEB.... 44........ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH e8"stgbj0C., VLco kn 7�?�4.....OF.............1•` ... —^rvat ..•."iat3 Appliratiuit. for Dwpouttl Works Tonstrurtiu rmt �a `36Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal systern at: lG s --7- -- -�? .. - .. ......................... Location-Address Ir a ............. ` ' P . . -Owner P.n �oAddress ! �:�-�... = .................: _ . �.... 1G--- Y"4. M Installer Address Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) a`4 Other—T e of Building ..._....._ No. of persons............................ Showers YP g ---...--••---•-•-- P ( ) — Cafeteria ( ) QOther fixtures -----------------------•-------------- -----------.-------.--------------•---------•---.. ... __ W Design Flow........... �. ----•--•------_-----gallons per e da�r. Total dai flV.w.......................................'gial`t r W Septic Tank—Liquid capacrty1-60gallons Length._.. ..fa.. Width... .Q. Diameter................ Depti - ... mJ : x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area .............sq. ft. 3 Seepage Pit No........ ............ Diameter....- .--..... Depth below inlet......(t......... Total leaching area. .....sq. ft. Z Other Distribution box Q Dosing tank ( ) r Percolation Test Results Performed by.................... �-•--•-•-----.-•--•=-- '�, ... Date...........�..ft.f--------- � Test Pit No. L.......ZJJ.minutes per inch Depth of Test Pit....... Depth to ground water.... ... . .. .. 44 Test Pit No. 2................minutes per inch Depth of Test i Pit...... .� p g._ .._. Depth to round water:.: . ....._ .__. p� ................................................................................ O Description of Soil......I------------ ..2J .�........ U ---------------------------- -... ------------------------- ---........ ------------- -------------------------------------------------------- ----------------.-----.- --------------------_i W V Nature of Repairs or Alterations—Answer when applicable........k..4J?T7__. -..L..Q ..........0:::- .. %.....:....... ----------------------------•------•----•--•--•-•------------------•--...._..----•--•-••---•-......._........-••-----------------•--------------....................................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance;with the provisions of MITI.` 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has bbe i �boaLap_Lhejlth. Signed......... . ..........•.... `.................... Date Application Approved By----- �J .. . •... •-----•--------------------•---•-•-•• ........ Date Applieation'Disapproved for the following reasons:............................................................................................................ .........................................................::........................................•-..............-----...--•------•-----------•--------•---•----.............--------...............� Date PermitNo....------.1. `. ..................... Issued.......-•-------•------••-----•---........ ...--- Date .q THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ......oF.............I,.....�1-.��.t�.�S��-f. L; --......_... ,� Iirtttion for`�i� o tt1 orkii Tonstrurtion rmi Application is-hereby made for a Permit to Construct ( ) or Repair ( ),an Individual Sewage Disposal F system it /� /Locations ,Address t r o r t I ................. �../1 .... `y�` .�.... Owner W :.�+� �S ,/� Address J' 't "'1 ' t 'P1 dress' -1` .... f Y'Lt c �•�C a ......... ................. ......... M Installer � Q7i Type of Building Size Lot............................Sq. feet V Dwelling—No. of Bedrooms............. .................................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons............................ Showers a YP g ----------•--•-•---•-------- P ( ) — Cafeteria ( ) Q Other fixtures .......................................1:2 Y•�...........-------- . W Design Flow___.__._._..<__ ________________ gallons per person per daY. Total daily flow ...___._.._. _.C�._ _._._...�.,;..gallon�. WSeptic Tank—Liquid capacity.1.02!gallons Length.... .... Width...#iiLo_ Diameter................ Depth-2--__4.... x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. 3 Seepage Pit.,No.._....)--._-.-___-- Diameter-----h2........ Depth below inlet......(?......... Total leaching area.. D.....sq. ft. z Other Distribution box ( ) Dosing tank ( ) t l Percolation Test Results Performed by................................................ ....__._..._.__..... Date.... __....:. . _ Test Pit No. 1..L._.. _--minutes per inch Depth of Test Pit....... ? :_ . Depth to groundwater..../i.� i.r.�..:(.�= 44 Test Pit No. 2................minutes per inch Depth of Test Pit...._.. .: _-- Depth to ground water... `w 0!. ..�' i? .........�. r O ................... .............•-•--_............................................................ Descriptionof Soil......,...............Z.........2-- ......................................................---------•--•--•------------------------.......................... W ....!......................•-•••---•-•-•-•-----••••••---•-•--•--•------•--•.......---........_...._....-•--•-•---•----.._..--•--••-•-•--•--------••-•--.......-•--•---_._ .�..................._.... , ----•------------------------------------------•------------•----•--------------------.....-----------------------------------_------------------------------------------...--•-C----•----........... 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 AITLZ 5 of the State Sanitary Code— The undersigned further agrees not to place the system in - operation until a Certificate of Compliance has been >ssued by the board-of health. J� Signed �C.r' '?. 1 c' f/........... ... �5� ` .. _... .. Date Application-Approved BY---------.._�tA1 !V Date Application Disapproved for the following reasons:.......................................................... ................................................ ........................---............................................................................................................................................................................. 1-1 Date Permit No.... -• �-�--------------------- Issued -..... -- Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .......`.....cawc ......oF. - SCD ` '............................. Trrtif irtttr of Toutplittnrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( v) or Repaired ( ) by--------------------------- ! tt\ \f t �,rl_rc --.. S �. ... ....................................................................................................... - - lnstaller , at has been installed in accordance with the provisions of TITLE, 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No-------------4_...._1!e........ dated............... ................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS. A GUARANTEE THAT THE SYSTEM WILL FUNCTIO//N�� SATIS,FACTORY. �.• DATE........ ............••f-4--�A �1. Inspector__._. T........................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OFHEALTH t< ( �t �c �\`P ��. 7 � ..... � ..�....:------•---:-•��....................... !moo No.....••—•-•—...._L.. FEE.............•.......... Disposal Yorks Tono#rurtion Errant Permission is hereby granted........... ...--•----•.......................................••-•-•----.........-- to Construct (v)10,or Repair ( ) an Individual Sewage Disposal System t at No........................... r-- f�-?�e- -�,/'.. _ _ / �'7 r /` C` V $ l�f f_- -z` l' :o. ._............. Street as shown on the application for Disposal Works Construction Permit No.�1.2q.... Dated.......................................... - --- Board of Health DATE........... - ' - C - ... 1 f " 1 4 .1 �.till!ITt!Tl!TTTfiTITT►TISTTTfTITSTlf1!1TTTiTlttltiTnttitttttttttttTTt}tNTnttt�Trtitt��ttttt}ttttttnttttitttt}}t9tntttrttttt{ttitnTtttttttTtttt�ttttttttttttttttttttTtt nt ttt q��tuTetttttr ntttttrTr it trrn r tTTt t ti.. :.:.: T..:l:::T . : . .:,:::T••:: :.::Tt.,TitT..,::Tt1TT,t11T1: Tt:T'Ilff ENVIROTECH LABORATORIES _a Mass. Cert.#:MA063 449 Route 130 Sandwich,MA 02563 (508) 888-6460 = CLIENT: Mike Murphy LOCATION: Lot 17 Birkshire Trails ADDRESS: _ _ W. Barnstable "= COLLECTED BY: L. Wile SAMPLE DATE: 7/26/91 TIME: DATE RECEIVED: 7/27/91 SAMPLE ID: Z 348 - e JOB : New Well —__ WELL DEPTH: l RESULTS OF ANALYSIS: i:- - t:... e_ Parameter Units Recommended'limit Result Coliform bacteria/100 mi (MF Method) 0 0 s PH PH units ----- 6.0-8.5 _ 6.22 > Conductance umhos/cm 500 116 _ Sodium mg!L 20.0 14.5 Nitrate-N mg/L 10.0 0.09 e Iron mg/L 0.3 0.26 es Manganese mg/L 0.05 =_ €€ 0.04 l Hardness mg/L as CaCO 3 500 22.6 - ;~::: ' z Sulfate mg/L 250 '- `xl 4.2 Potassium mg/L 20.0 0.9 z Alkalinity mg/L 200 15.0 '¢ fie-: Chloride - - _mgJL: - �* '250 - _ ' _ - _ 27.7 , Turbidity NTU 5.0 z 40.0 -, Color APC units 15.0 z 25.0 E Background bacteria E. EPA Method 601/602 ug/L " (See Attached Sheet) None Detected COMMENT: c c: YES No WATER IS SUITABLE FOR DRINKING PURPOSES FOR PARAMETERS TESTED. "z DATE gf ... .. . ... �ihUlil!!tllll11t1111UtlflillltlUl111ltUlihllUlUtltU!l11llUtilillUlliillllli1i111itllil( IiiilliilitIailtiiiliitiliUlitlsiiit illittiiUtllilllllillliUtililiiilitillJili1111iUllitlll►litliiilltittil�' GROUNDWATER ANALYTICAL EPA METHODS 601 and 602 Volatile Organics (GC/PID/ELCD) Field ID: Z-348 Lab ID: 1745-01 Project: Murphy Lot 17 Berkshire QC Batch: VGA-816 Client: Envirotech Sampled: 07-26-91 Cont/Prsv: 40ml VOA Vial/NaHSO4 Cool Received: 07-29-91 Matrix: Aqueous Analyzed: 07-31-91 PARAMETER CONCENTRATION REPORTING LIMIT (ug/L) (ug/L) Dichlorodifluoromethane BRL 5 Chloromethane BRL 1 Vinyl Chloride BRL 1 Bromomethane BRL 5 Chloroethane BRL 1 Trichlorofluoromethane BRL 1 1,1-Dichloroethene BRL 1 Methylene Chloride BRL 1 trans-1,2-Dichloroethene BRL 1 1, 1-Dichloroethane BRL 1 cis-1,2-Dichloroethene * BRL 1 Chloroform BRL 1 1,1,1-Trichloroethane BRL 1 Carbon Tetrachloride BRL 1 Benzene BRL 1 1,2-Dichloroethane BRL 1 Trichloroethene BRL 1 1,2-Dichloropropane BRL 1 Bromodichloromethane BRL 1 2-Chloroethylvinyl Ether BRL 1 trans-1,3-Dichloropropene BRL 1 Toluene BRL 1 cis-1,3-Dichloropropene BRL 1 1,1,2-Trichloroethane BRL 1 Tetrachloroethene BRL 1 Dibromochloromethane BRL 1 Chlorobenzene BRL 1 Ethylbenzene BRL 1 m+pp-Xylene * BRL 1 o-Xylene * BRL 1 Bromoform BRL 1 `1, 1,2,2-Tetrachloroethane BRL 1 1,3-Dichlorobenzene BRL 1 1,4-Dichlorobenzene BRL 1 1,2-Dichlorobenzene BRL 1 QC SURROGATE COMPOUND: SPIKED MEASURED RECOVERY QC LIMITS Bromochloromethane 30 31 103 % 83 - 117 % Fluorobenzene 30 .31 103 % 87 - 113 % BRL = Below Reporting Limit. * Non-target compound. "Trace" indicates probable presence below listed Reporting Limit. Method References: Method 601 - Purgeable Halocarbons and Method 602 - Purgeable Aromatics, 40 C.F.R. 136, Appendix A (1986). N COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AF�,N DEPARTMENT OF ENVIRONMENTAL P `TECT19% -A ONE \'INTER STREET. BOS TON. MA 02108 617.292.5 0 rV/ w �(r® 01, N ILLIASf F.WELD �9NST 8 Qq Go\emor �rge(zr T1, DY CORE I J ) Secrerar. ARGEO PAUL CELLUCCI - �- DAUd'D B.STRUHS Lt.Go�emor SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM j` Commissioner PART A �1 CERTIFICATION Property Address: f35 Q?�k5ntre,�fWILrW��RrnSTAb�L,m19 Address of Owner: Date of Inspection: (If different) Name of Inspector: Rja_, 0, C�C.,,tS I am a DE 9?roved system inspector pursuant to Section 15.340 of Title 5 (310 CMR 15.000) Company Name: -) ' Mailing Address: _F_-2, T=n /t2d O" ' In rP "/`VLy; ' O — 5 Telephone Number. 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 se age disposal systems. The system: Passes Conditionally Passes Needs Fu er Evaluation By the Local Approving Authority Fails Inspector's Signature: Date: / The System Inspector shall submit a copy of this inspection report to the Approving Authority within thirty (301 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. INSPECTIO SUMMARY: Chec A, B, C, or D: AJ SYS M PASSES: I have not found any information which indicates,that the system violates any of the failure criteria as defined in 310 CMR 15.303, Any failure criteria not evaluated3`1 indicated below. COMMENTS: -77 BJ SYSTEM CONDITIONALLY PASSES: / One or more system components as described in the "ConditronalPass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by theHealth, will pass. Indicate yes, no, or not determined (Y, N, or ND). Describe basis of termination in all instances. If"not determined", explain why not. The septic tank is metal, unless the owner or operat r has provided the system inspector with a copy of a Certificate of Compliance (attached) indicating that the tank was stalled within twenty (20) years prior to the date of the inspection; or the septic tank, whether or not metal, is cracked, st ucturally unsound, shows substantial infiltration or exfiltration, or tank failure is imminent. The system will pass inspectior if the existing septic tank is replaced with a conforming septic tank as approved by the Board of Health. (revised 04/25/97) Page 1 of 10 DEP on the World Wide Web: http:11www.magnet.state.ma.us/dep C) Printed on Recycled Paper F SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM . PART A CERTIFICATION (continued) Property Address: I35 t3<,ks�,.I 'l,Fe- I IPd Owner: Yerer*hlorrwer ' Date of Inspections r� N B] SYSTEM CONDITIONALLY PASSES (continued) x is _ ructed Sewage backup or breakout or high static water levtrib It obs rued in the sysdcembwitll paion bsoinspectlono if (with approvn or al of the pipe(s) or due to a broken, settled or uneven Board of Health). Describe observations: broken pipe(s) are replaced obstruction is removed distribution box is levelled or re laced _ than four times a year due to broken or obstructed pipe(s). The system will pass The system required pumping more inspection if (with approval of the Board of Health): broken pipe(s) are replaced obstruction is removed 4 /'LT C) FURTHER EVALUATION IS REQUIRED BY THE BOARD OF H Conditions exist which require further evaluation by the Bo rd of Health in order to determine if the system is falling to protect the public health, safety and the environment. 1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERD AF INAND HE HE SYSTEM IS NOT FUNCTIONING IN A MANNER VIRONMEN7 WHICH WILL PROTECT THE PUBLIC HEALTH A _ Cesspool or privy is within 50 feet of a surface w ter _ 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 ( 4D PUBLICCTS ATER S HEALTH AND SAFETY ANUPPLIER, IF D DE RMINES THAT THE SYSTEM IS FUNCTIONING IN A MANNER THAT ENVIRONMENT: _ soil absorption system (SAS) and the SAS is within 100 feet to a surface water supply or The system has a septic tank and tributary to a surface water supply. The system has a septic tank and soil absorption system and the SAS is within a Zone I of a public water ersuppPyY eel . The system has a septic tank and soil absorption system and the SAS tion system and the SAS ls within is less than01f00t of feetabut 50 feet or more from a _ The system has a septic tank and so P private water supply well, unless a well water a alysis for coliform bacteria and volatile organic compounds indicates that of the well is free from pollution from that facility And the presence t Ppfo°xima g a tionnotvalid)trate nitrogen is equal to or less than 5 ppm• Method used to determine dis ance 3) OTHER page 2 of 10 (revised 04/25/97) SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 12,5 Serksl„Yq,Ty a1 L;W •( >AfA STf 61-f.,yo Owner: �eTu r1lan�er Date of Inspection: D) SYSTEM FAILS: You must indicate ewer "Yes" or "No" as to each of the following: I have determined that the system violates one or more of the follc wing failure criteria as defined in 310 CMR 15,303, The basis for this determination is identified below. The Board of Health should be contacted to determine what will be necessary to correct the failure. Yes No Backup of sewage into facility or system component due o an overloaded or clogged SAS or cesspool. Discharge or ponding of effluent to the surface of the gro ind or surface waters due to an overloaded or clogged SAS or cesspool. Static liquid level in the distribution box above outlet inv n due to an overloaded or clogged SAS or cesspool. Liquid depth in cesspool is less than 6" below invert or a ailable volume is less than 1/2 day flow. Required pumping more than 4 times in the last year Nor due to clogged or obstructed pipe(s). Number of times pumped _. Any portion of the Soil Absorption System, cesspool or p vy is below the high groundwater elevation. Any portion of a cesspool or privy is within 100 feet of a iurface water supply or tributary to a surface water supply. Any portion of a cesspool or privy is within a Zone I of a publ,ic well. Any portion of a cesspool or privy is within 50 feet of a ivate water supply well. Any portion of a cesspool or privy is less than 100 feet b t 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 •trogen 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 t e criteria above: The system serves a facility with a design flow of 10,000 gp or greater (Large System) and the system is a significant threat to public health and safety and the environment because one o more of the following conditions exist: Yes No the system is within 400 feet of a surface drinking ater supply the system is within 200 feet of a tributary to a surf ce drinking water supply _ the system is located in a nitrogen sensitive area (In erim Wellhead Protection Area - IWPA) or a mapped Zone II of a public water supply well) The owner or operator of any such system shall bring the system and f cility into full compliance with the groundwater treatment program requirements of 314 CMR 5.00 and 6.00. Please consult the local regi nal office of the Department for further information. (revised 04/25/97) Page 3 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM .' PART B CHECKLIST Property Address:l j5 C3�<<S�'���rQ'Lr 1'6Rble, (�11A Owner: �eYe4Z Vn Date of Inspection: 3-q-qS Check if the following have been done: You must indicate either "Yes" or "No" as to each of the following: Yeyck NO /r�/ _ 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 pan 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, "cluding the Soil Absorption System, have been located on the site. The septic tank manholes were uncovered, opened, and the interior of the septic tank was inspected for condition of baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge, depth of scum. The size and location of the Soil Absorption System on the site has been determined based•on: The facility owner land occupants, if different from owner) were provided with information on the proper maintenance of Sub-Surface Disposal System. Existing information. Ex. Plan at B.O.H. Determined in the field (if any of the failure criteria related to Part C is at issue, approximation of distance is unacceptable) (15.302(3)(b)J nr v'Y (revised 04/25/97) Page 4 of 10 u r SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C 4j 1 SYSTEM INFORMATION Property Address: }�Sh1YC �lgl�.)W.Qf11ST14blQ�m� -, Owner: I Rear mon1 to Date of Inspection: l FLOW CONDITIONS RESIDENTIAL: Design flow: —;� R.p.d./bedroom for S.A.S. Number of bedrooms: Number of current residents:- Garbage gr,+'.der (yes or no): � Laundry connected to system (yes or no):��q / J� Seasonal use Ives or no):-iz-> Water meter readings, if available (last two (2) year usage (gpd): Sump Pump Ives or no —441-ID Last date of occupancy. ZIA COMMERCI.AUINDUSTRIAL: Type of establishment: Design flow- __gallons/dav Grease trap present: (yes or no)_ Industrial Waste Holding Tank present: (yes or no)_ Non-sanitary waste discharged to the Title i system: (yes or no) \-Vater meter readings, if available Last date of o:cupanc-� /� OTHER: (Describe' T� Last date of occuoanc). GENERAL INFORMATION PUMPING RECORDS and source of information: System pumped as pan of inspection: (yes or no) Ujawn If yes, volume pumped allons Reason for pumping C��.G—�t� TYPE F SYSTEM Septic tank/distribution box/soil absorption system Single cesspool Overflow cesspool Privy Shared system (yes or no) (if yes, attach previous inspection records, if any) I/A Technology etc. Copy of up to date contract? Other `1 APPRO IMATE AGE of all components, date installed (if known) and source of informationa��� � �� Sewage odors detected when arriving at the site: (yes or no) .w A (r►vi ud 04/25/97) Page 5 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) (3 rnsTlle,�nr Property Address:135 �CX�C ►r��rAiL fU11 • R Owner: PQTm mOniler Date of Inspection: 3 _C, 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' Material of construction: concrete _metal _Fiberglass _Polyethylene _other(explain) If tank is metal, list age Is age confirmed by Certificate of Compliance (Yes/No) 7— Dimensions. � 'V ' Sludge depth: TIµ Distance from top of.sloge to bottom of outlet tee or baffle: Scum thickness _ Distance from top of scum to top of outlet tee or baffle: �l Distance from bosom of scum to bottom of outlet tee or ffle: Ho"- dimensions were r determined. ' ��yJL��//P�/✓ //(/5 Comments: th o�li uid el in rel 'on to wle.t invert, structural (recommendation for pumping, condition f. nlet an utlet� s pr b es, p Lsq , Q ^/; me r evidence of leakage, etc.) p /� 4 GREASE TRAP: (locate on site plan) Depth below grade: material of construction: _concrete _metal _Fiberglass _Polyeth ene _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 baffl s, depth of liquid level in relation to outlet invert, structural integrity, evidence of leakage, etc.) (revised 04/25/97) Page 6 of 10 SUBSURFACE,SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address:l3{�S (�Qriy�vS�t re_—ffAt l,,;,�U1•,l3Ar► C'-FrtW-f rY1 A Owner: 1 e.Ter li►UnC( r Date of Inspection: 1 TIGHT OR HOLDING TANK: (Tank must be pumped prior to or at time, of inspection) (locate on site plan) Depth below grade: Material of construction: _concrete _metal _Fiberglass _Polyet ylene _other(explain) Dimensions: Capacity: gallons Design flow-: gallons/dav 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:__�� Comments: (note if level and distributio ual,,p�yidence of s s car er, evidence of eakage into or out of box, etc.) Ito � PUMP CHAMBER:_ (locate on site plan) Pumps in working order: (Yes or No) Alarms in working order (Yes or No) Comments: (note condition of pump chamber, condition of pumps and appurten nces, etc.) i i (revised 04/25/97) Page, ? of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: f 35 uksl,trr✓1r��1. W,�3Rrn5Tr�b1e, Trip . Owner: �ete.( m0Y1Gi Q f! Date of Inspection: r q_a 1 SOIL ABSORPTION SYSTEM (SAS): approximated by non-intrusive methods) (locate on site plan, if possible; excavation not required, but may be If not determined to be present, explain: Type: leaching pits, number:__ leaching chambers, number:__ leaching galleries, number: leaching trenches, number,length: leaching fields, number, dimensions. overflow cesspool, number. Alternative system: Name of Technology: Comments. di Condit' of vegetation, e>i) note condition of soi igns of hydr ulic failure, I'vel of p Qg, CESSPOOLS: _ (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. d as pan of inspection) inflow (cesspool must be pumpe Comments. of soil, signs of hydraulic failure, level of ponding, con ition of vegetation, etc.) (note condition J r PRIVY: (locate on site plan) Dimensions: Materials of construction. Depth of solids: Comments: (note condition of soil, signs of hydraulic failure, level of pondin , condition of vegetation, etc. p y• (3 of 10 (revised 04/25/97) C SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) !35�3erKslur�j rA�L,l,�.g�rns7Rhle A" Property Address: Owner: ?,auz �0►1C�2.( �. '.. �ff/jv `/ Date of Inspection: 3-9-a & SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent reference and arks benchmarks locate all wells within 100' (Locate where p is wat or suu_ comes into house) -t7AX)L--L 7 v4jp----, I ij�� !d, 0-ijtoo �t 3 � (revised 04/25/97) page of 10 i SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM ey PART C SYSTEM INFORMATION (continued) S 13exlz.sl,�r-e,l�+�►� ,W`�ftmsTir���e_ 1^nlfa '; Property Address: )2> Owner: Pe,Te+� Date of Inspection: Depth to Groundwater _ Feet Please indicate all the methods used to determine High Groundwater Elevation: Obtained from Design Plans on record etc.) bservation of Site lAbuning propertY, observation hole, basement sump ] Determine it from local conditions Check with local Board of health Check FEMA Maps C ck pumping records Check local exca�ators, installers Use USGS Data words hoA, you established the High Groundwater Elevation. (_Must be completed) Describe r) four Owr) Pay• 10 of 10 , (r,vised 04/25/97) Bottle Number : 713701 Date: 02/27/98 BARNSTABLE COUNTY HEALTH AND ENVIRONMENTAL DEPARTMENT r SUPERIOR COURT HOUSE O V hj BARNSTABLE,MASSACHUSETTS 02630 �1q 5 S PHONE: 362-2511 Client : ELLIS , JAMES Collector: JAMES C . ELLIS LAB337 Mailing ELLIS BRO. CONSTR. CO Affiliation: OTHER Address : 23 ENTERPRISE RD YARMOUTHPORT , MA 02675 Type of Supply: W Telephone : 362-6237 Well Depth: 90 FT Sample Location: 135 BERKSHIRE TRAIL Date of Collection: 02/24/98 Town : WEST BARNSTABLE Date of Analysis : 02/24/98 Map/Parcel : 088-011 PARAMETER SAMPLE RESULT RECOMMENDED LIMITS Total Coliform Bacteria ABSENT 0 pH 6 . 7 Conductivity (micr. omhos/cm) 168 500 Iron (ppm) 0 . 6 0 ..3 Nitrate-Nitrogen (ppm) 0 . 5 10 . 0 Sodium (ppm) .,23 20 . 0 Copper (ppm) 0 . 2 1 . 3 --------------------- BASED ON THE ANALYSES PERFORMED , THE FOLLOWING ADVISORIES ARE GIVEN: * Based on the results of the parameters tested, the water is suitable for drinking but may present aesthetic problems ( taste , odor , staining) due to iron. * Based on the results of the parameters tested, the water is suitable for drinking but has high levels of sodium. Persons on a low sodium diet should consult their doctor. Thomas F. Bourne , Laboratory Director No.---------------- Fee- !__------ BOARD OF HEALTH TOWN OF BARNSTABLE Zippiication fforlVell Cootructionpermit Application is hereby mIld e fps ,$e�rm*t to Construct ( ), Alter ( ), or Repair ( )an individual Well at: Al/ � - - !�f/` - ---------------- -- -p ----- - ---- ---------------------- ------------- -------------- LLo'cation —hAddress Assessors Ma and Parcel '— =` � — — — — ------ Address -----=----------------------------------- Installer — Dril er ,&-x- Q� Address Type of Building v Dwelling----------------------------------------------------------------- Other - Type of Building---------------------------------- No. of Persons-------------------------------------------------------- Typeof Well ----------------------------------- Capacity-------------------------- ----- Purpose of Well - - - -- -- - Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private Well Protection Regulation — The undersigned further agrees not to place the well in operation unti a Certificate of CL-OMpliance has been issued by the Board of Health. Signe - — -- -- — -- -- date Application Approved By- — — —' — -- — -- " --- � - ----- !'`1 � date Application Disapproved for the following reasons: ------------------------------------- ---—-—-- —---------------------------------------------------------------------------------------------------------------- -- fA / date Permit No. ------k'`' _r ` -i► - - - Issued1� ` —- —- date BOARD OF HEALTH TOWN OF BARNSTABLE Certificate Of Compliance THIS It TO CE TIFY,�'hat the Ind* 'dual Well Constpicted ( ), Altered ( ), or Repaired ( ) by- ---------------------------------------- - "Inst4le atS4_ ---1^�-- ?I `---05- ` - ------------------------ - ------------------------------------------------- has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection // c, Regulation as described in the application for Well Construction Permit NoAv"F1t=*bated THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE--- -- - — - - - -- Inspector------------------------------------------------------------------------------ CoNo.--W_------ Fee-2 BOARD OF HEALTH TOWN OF BARNSTABLE Appfitat ion for Vell Congtruction3permit Application is hereby mmade f f e it to Construct ( ), Alter ( ); or Repair ( )an individual Well at: ----- -— ---------------____ _----____------------ Location — Addres Assessors Map and Parcel 07 Address ---- ---------------------------------------------------------- Installer — Driller Address Type of Building 7 Dwelling--------------------------------------------------------------- Other - Type of Building-------------------------- No. of Persons-_---------------------------------____________ Type of Well- -- VG 1 -- -- Purpose of Well.---- Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private Well Protection Regulation — The undersigned further agrees not to place the well in operation until a Certificate of oyliance has been issued by the Board of Health. /� �� Signed✓_''-.-`'- =-------------------------------------------_____— ------------------- date C C- Application Approved By----- ------ ---------------- --- -- date Application Disapproved for the following reasons:------- ------------ _____—_ _ __--_---------------------------------_-----------____-- / date Permit No.------Al .— -91-"J -------------- Issued— -- — --� -�! - - ------------- date BOARD OF HEALTH TOWN OF BARNSTABLE Certificate (Of Compliance THIS IS TO CERTIFY, hat the Individual Well Const�cted ( ), Altered ( ), or Repaired ( ) by-- _��ca, , - - - —`fir/1 - -C—�'`- ----------------------------------------------- Install -------------------------------- has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit No.h, � `Dated '-1 - 9tl THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE-----------------------------------------------------------— -— -- Inspector-- -- — - -------------------------------------------------- BOARD OF HEALTH TOWN OF BARNSTABLE Ver[ Con!5truct ion Vermit No. —------------------- 'Fe- Permission is hereby granted----- --- ------------------------------------------------------------------------------------------------- to C nstruct�( ), ter ),moo Repair ( ) an Individual Well at- No. 9 No.Q`�Q,t„cw� - - � —� ---------- ///l _ ww�J— /1.C�.�t. --- - Street ---- ---- ------------------- as shown on/the•a lic/ation for 9WWell Construction Permit �y / No.-----vC----- ---------------------------- Dated" Board of Health ` /---------------------------------- DATE-----_��___"�--!__�-..-_�/___ �tt�+TinTTntrrttTttitTrrittt+rtrTrtttrfnttt++tnmnttttfmt+mfTrt+tntrttttrrtnnr++nnn++trnt+ntnfrtstnttrrrfttrf+fr+ntrnf+nr+nnrnnmtrr+tntttrfnt ntt+n ffrrtu nffm ftnnftmnrt ftfnrnn m tuft+nn ENVIROTECH LABORATORIES -s Mass. Cert.4:MA063 ` 449 Route 130 Sandwich,MA 02563 (508) 888-6460 - CLIENT: Mike Murphy LOCATION: Lot 17 Birkshire Trails --- ADDRESS: _ _ W. Barnstable COLLECTED BY: L. Wile SAMPLE DATE: 7/26/91 TIME: DATE RECEIVED: 7/27/91 SAMPLE 1D: Z 348 =- . JOB N-ew Well —_— WELL DEPTH: L 13 v Iyri G RESULTS OF ANALYSIS: Parameter Units Recommended limit Result Coliform bacteria/100 ml (MF Method) 0 PH pH units --- -.— ;,t 5 5 6.22 Conductance umhos/cm '500 116 Sodium mg%L 20.0 14.5 - Nitrate-N mg,'L _ 10.0 0.09 - _ Iron -- mg i L -- ----- 03 - - 0.26 Manganese mg/L. 0.05 z. 0.04 Hardness mg/L as CaCO 500 3 22.6 c: _= Sulfate mg/L 250 14.2 - Potassium mg/L - - — 20.0 - _ 0.9 Alkalinity mg/L --- 200 ---- 15.0 Chloride mg;L 250 = _ 27.7 - Turbidity NTU ----- � 5.0 — - ; 40.0 _= Color APC units 15.0 25.0 ; ' Background bacteria EPA Method 601/602 ug/L (See Attached Sheet) None Detected COMMENT: _ yY�EyS NO WATER IS SUITABLE FOR DRINKING PURPOSES'FOR PARAMETERS TESTED. E_ �� � ;2 .� DATE _ 1��::: i II- I I•-.i•• �.. .• 1•.....i..i•....i :ii ' :- i1 Ii ' ' i ii +rrillrlllullr111J11 rl!lrlllllll dlllillrllrlllllrlr rrlllrllrrlllrl rllllLllullilli!iiiii iiii i luliiii iiiii ii ii ii i i iiii ii i iiii iiiii i i i i ii iiiii i ii i ii iiiii i iiii iiilri'ii i ii i ii iiii ii iiii i i!i li iiiilliilli iii iiiii iii ii iii iiiii I iii i 1 iii!iii rife • GROUNDWATER ANALYTICAL EPA METHODS 601 and ..602 Volatile Organics (GC/PID/ELCD) Field ID: Z-348 Lab ID: 1745-01 Project: Murphy Lot 17 Berkshire QC Batch: VGA-816 Client: Envirotech Sampled: 07-26-91 Cont/Prsv: 40ml VOA. Vial/NaHSO4 Cool Received: 07-29-91 Matrix: Aqueous Analyzed: 07-31-91 PARAMETER CONCENTRATION REPORTING LIMIT (ug/L) (u9/L) Dichlorodifluoromethane BRL 5 Chloromethane BRL 1 Vinyl Chloride BRL 1 Bromomethane BRL 5 Chloroethane BRL 1 Trichlorofluoromethane BRL 1 1, 1-Dichloroethene BRL 1 Methylene Chloride BRL 1 trans-1,2-Dichloroethene BRL 1 1,1-Dichloroethane BRL 1 cis-1,2-Dichloroethene * BRL 1 Chloroform 'BRL 1 1, 1, 1-Trichloroethane BRL 1 Carbon Tetrachloride BRL 1 Benzene BRL 1 1,2-Dichloroethane BRL 1 Trichloraethene BRL 1 1,2-Dichloropropene BRL 1 Bromodichloromethane BRL 1 2-Chloroethylvinyl Ether BRL 1 trans-1,3-Dichloropropene BRL 1 Toluene BRL 1 cis-1,3-Dichloropropene BRL 1 1, 1,2-Trichloroethane BRLy 1 Tetrachloroethene BRL 1 Dibromochloromethane BRL 1 Chlorobenzene BRL 1 Ethylbenzene BRL 1 m+pp-Xylene * BRL 1 o-Xylene * BRL 1 Bromoform BRL 1 1, 1,2,2-Tetrachloroethane BRL 1 1,3-Dichlorobenzene BRL 1 1,4-Dichlorobenzene BRL 1 1,2-Dichlorobenzene BRL 1 QC SURROGATE COMPOUND SPIKED . MEASURED RECOVERY QC LIMITS Bromochloromethane 30 31 103 % 83 - 117 % Fluorobenzene 30 31 103 % 87 - 113 % BRL = Below Reporting Limit. * Non-target compound. "Trace" indicates probable presence below listed ,Reporting Limit. Method References: Method 601 - Purgeable Halocarbons and Method 602 - Purgeable Aromatics, 40 C.F.R. 136, Appendix A (1986). I , _ - WOW Aa ��. �j ' }.�'r ✓�,.r/� ice. 7: , r yy Jo L .+ ^''`\ ,. \ ��n' ""` `mow.- 4 '-"•s.� r tom/ i Li Nll� 41 i � s LL , - i „ ""'+ P +- r�. �' tN s Co : IZ i wae� F*ULl Lp ti L�- „ , llf t ' If / A i w t Yj Gk, f' ✓ t j I f Zs,or ! � I : ,, --ram --.—L— Aof '>• -__.. <-i-y .1..r. �f .T r ��� �� � � 1. . .. -- ._- ._ _.-•_`._-_ ' __.. -__._.__.. ._._.... _: ._ _.. .__ `-. f � y : r a i 6A r Clk ! �; 4 r s. « i ill_ .. �—� ,:{• i _ �t { i t I �� 20 F %NIMUM FR`M �;ELLAR OR CRAWL .SPAT.E , SOIL TEST 70r, OF F D'U N D A T>ON __^ --__._ __ __ - - - - __ __ __. . _ OA' 7r `{fit TEST `�t' I 10 FT. MINIMUM FROM SEAS SOIL "F ST CONE BY QkE- 5R �Futal)V�E�i'3(i I f T" 0- 7" ELEb'. _ 100700 _ 10 FT. M I f'�t JNv? CLEAN AN WITNESSED ES5EC 9 i (.ASSUMED) \ ! I CONCRETE -WSPEC?IO` POST Cov-tRS LOAM AND SEED 4" SCHEDULE 40 PVC PfPc + , � OBSERVATION �� � ' t.. PIrC-i '/8' PER 7. `� 1 ; L -A;ER OF Eve � �5 ,B MIN. 1�rAS*ic:� STONE. PCRCC_AT.'�N-RA?E _<__.�M �'y"' /''�t=-�' ___..`4_ _ tst_HT�a AZ7 `__,_.��t- _ __-�- t 'Si4.87 MAX. ` OR FiI. tR FAER C` CJEPTh HC1Rf� "X1s1R _ ( JR _- ' MGT,_ tk 4" CAS" fRCty F'iPL G NtiRa.x, --- - - ----- - _.1_\' RECOMMENDED t LOAMY _� _` �OT; 11.5 f ` r _ -- _8tJ.72 MiAi. + ��-4 4 r jY SAND 5;` 1ROQ T S SLAB (OP EQUAL} MINIVOl t I r r- _ __ I--" - i T _ t- _ _ _ --� ' TC� 1 �4" PER FT.J _.1'r:l �_ l TEE ; 4 2r" iDLOAty�r SANt R� µ � CiO S �LE LEA i �'� I 7. ? , t I \4 �20 ., ' CAN4' SANv', > �;�•x _ 1 IVY ___ _ 'a, ( f90 +44 �w2 IMEDIIjM SAND },5 ? Tir 10. V - 0 ._ L 0 � 0 m i� 0 0 C fit? 'vV 4 R TM.N. .-I �`.. i` ° V TER ENCOUNTERED A.' ..r ° r---- �---' - B.OS 8., 141 #P' L'_vEL °/ °! t� (� tom^ ( r c I OBSERVATION f7 L.G. E.LE~V 3 1 87.48 / 0 f ELEV. _ _ .__- ACG GA S `� _. 87. 3 ! c�Eti °,` ° C7 C C3 CJ C y1 DISTRIBUTION ° °C. I DEPTH I NORIZ TEXTURE - " ;' JR t ��!O TT 107g =R 4 SOX $r,�.z^ ° f CrvID 0 ,T�t. --__- __ ° 85.22 10-4' ;A I{LvPb'v jA^1 �� �x �Tthl. - I ° GALLEYS 1NiTH1 i er r- - r+ t. ? (1OAMY hANr,., ��yp}�' _ __ °4 INCHES- t �' TC d,_ t:a .r t C T 4 ! 5 � s _ J �� _ INCHES � MCkE-THAN'' )NE i' T'�L I dE IN AN ! 2,� �L04i�"Y SA.N;: j r3 _ 1000 GALLON 5' ra A .__ �0 1 _ 6 -Et` 'S INCHE7 f �C�t�Tf gyp. �/ .Ttt�'G} I - 13�X 2 X_-.__ �RENCri FC+R!�ATt�C,t�� � Eye '�E -_1 I -144- ?. ,lvScGi:JM uAN2.5t7_ 7 fir' 7Q t ^�i-S SEPTIC IC TANK �p tt F'•' tvNE�___� -- 7 4A� _ 8 E4 3 I.J�}� 3/4" TO 1 1/2" CLEAN 1 SOIL ABSORPTION i ;r NCEX MO WATER ENCOUNTEREG� A _a.� _ ELEV. M-�__�C-- DOzJKEA WASHED STONE yam+ 4DJ'UST_ FREE OF FINES & SILT SYSTEM SAS SEWAGE DISPOSAL SYSTEM PROFILE ufc�� PRCE3aBI.> WATER 'ABLE ELEv ^' DESIGN CALCULATIONS ' OBSERVED wA jE R TABLE ( / � � Et.EV. ,,�''�� NOT "r jl-r. _ i'�I.J?`+p 65 t"r u' 3EJRC30"AS 4 L Bt);TON*, OF TEST HOtte' F'LEV. �_Z$S3_ GAR3AG£ D-SPOSAs.. UN'T i TO"AL E`.TiMATED P1'`W /- ( 110 GAL/BR./DAY X ....4 BMA.. - �° rD.a v I RFUU!RED SEP% TANK CAPACt y ; ACTUAL SIZE_ OF SEPT!C'TAt,k , �0� 1 „t• SOIL _-OSSIFICATION DESIGN PERCOLATION RATE < _ M' i.%i;ti. EFFLUENT !_�OAD'NG RATE OAL./DAY/S.F. LEACHING AREA _ SO. FT. ;3X38}+(31NX2X2) r ,AREA X RATE) �74,64 GAL.`0AY / 89&00 X 0.68 RESEPVE LEACH.'NG CAPA(iTY NOTES: 1 ALL WORKMANSHIP AND MA7R1ALS SHALL CONFORM TO o TEREEN'CE T171E 5 AN-, rH.E ',O`+NN`S RULES AND REGULATIONS FOR 1�v' tui.� THE SJQS._Rr ACE J SPOSAL �' SEWAGE. HAYES "'" 2. r LL. COv*RS 0 SA.NITArR" JNiTS S°1ALL BE BROUGHT T TO j tti0. ��'3 V Ti'V 6" OF rI"diS,4ED GRADE, A �o ? ALL �:OV ONc"IT.> Y THE. SANITARY S�'STEV SHALL BE CAPABLE OF �p a aD�_ y 1 ,SA cCSSTHEYJJ1�ARE�1 UNDER/ c OR NnCp,yH,`V I r`Nj T,'\ ,,i� 1; ."' ,.R{VFS "R. rA?j',"' NG AREAS. ti'I 20 LOAD''yG SHAL_ BE H 90.8 9tJ.3 L SED i NDE.R )R WI r- N J FT.,, OF DRIVES OR ='r°t!"*X!N.� ARr:4S 1 .0 / ; 4. AN+MY. M utNJ� gSEID TG BRING COVERS TO GRADE SH Ai L _ �• r r • ..� �'^ u+ - ' ,.,.. D T6. P �t`I M A n _ 11 �r 1 I lib CEC L ✓R it//v V a it L l N\ bb`f_l>A.r1 a CtBTAIN SUCH DETERMINATION FRC,�r A �Rt w.h r r�:¢' CRI ' t WILCOX 6. UTi iTIr_S SHOWN ARE APPROOXINA-E ONLY, E'XCA4A .fON CONTRAS c 3'.6 u{ Vb' w u <r 0,4 /�� I i IS TO CALL 'JIG-SAFE q -1388-3¢4 '233 AT EAST 72 HOURiz w y3 4 91 0 1_,-- ---- `p 1110. 31341 o PRIOR '70 COMMENCING WORK ON S1 rE, `� �.• � % \ I \ o ss, STti 7, ONTRACTOR IS TO VERIF" GRADES AN ELEVATIONS AS VvEt t_ AS SITE CONC?I ItJNVS PRIOR TO COMMENCING WORK ON SITE ANY VARiATlON I�/ C. ,�C ��r'AL IAN��%3> IS TO BE BROUGHT TO THE ATTENTION OF THE DES,'GN ENG;UP SOIL 'ti BOX / � � � �j � ��"�-- «`.`r IMMEDIATELY. _ TEST � '� _._x�__ a S. PARCEL IS IN rL.O°� ZO{VE 91.0 1 i ` 9. LOT IS SHOWN `DM ;ASSESSOR MAR __ _ AS PARCEL 92.9 �90.2 1000 GALLON 1 C. NO OTHER KNOWN UWELL_, Ni- `50` OF PROPOSED SOIL ABSORPTION SOIL / SEPTIC TANK 1 SYSTEM. ��. TEST 2 h/ - 1. EXISTING ?J "S TC BE �'?:jI•�PE.C.' AND BACKFILLED. 12. THE iNSTA; R IS TO GIVE THE- E:NGtNE,ER A M44MUM OF 48 HORS '� \ �� (2 WORKING DAYS) NOTiCE 'O? 'rI£ FINAL IMYSPEC'','ION (NUMBER BELOW_' .' /X Cry '!�G f �� 98.7 \ 94.0 �,��© ,96.8 APPROVED. BOARD OF HEALTH ,0 t7 \ PROPOSED�JSEB SE1�Z'IC DB SII I1 WEST BARN'STAB ii 99.3 \� DIRK MONJ AR 1C2.4 f ' 135 BEBKS� TIAYL, LAT .' WEST BARN TABU MASS103. �7 � A� wELL ti` �cvs �~�` � � 203 SETUCKr P. A.:E 508- 385-6900 L;T-t DE N IS, i �S c ; g� LEGEND. �,, �' ' Rou� a •--- -_� ___.�..._�.. ._._ __�.__......�. EXISTING SPOT EL-EVA71ON 00,X EXISTING COhTCUF ---00--- 1 F -� 2C' FINAL SPOT ELEVATION � X" 1014 ' E� `� ' ' G��=�"__� � 1 f FtNAL CJNTOUR- - p' TE3 �CCA !"N �jtREV 02020 SWE '.;E.�' E%G!!,=r ..t.TIN;=' I' I I i ley G -lid WOO) *41N I � _Na ,7 ` r . 'k .._.._,,:..•-�...<r�w�..-.�,....-,....- _..'' {....�-� _. �.: y.r' .-...,,.�. „-�c»...cr. .....vim».�... .4-�---. �. i Marl^ .•�„r.: .:... : r , ED , f p 5 h<(9 fil! g:;, ' - j 9 1 i . � l t � y y ` -X� I AAA r I 4 a �. Jol .. y.' 7� . . i ' 1 1 � c T ! i yl oo G,�, Ld, IL c�a-Ei clet yt <l 0&,-r" �- a Q tel t ..� ' qo l � YA II I I i y -$T 1 1 r . y� . "