HomeMy WebLinkAbout0024 BRIAR LANE - Health 24 Briar Lane(W. Barns_table)
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Commonwealth of Massachusetts
y Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
M 24 Briar Lane
Property Address
MOODY, BRUCE S &SUZANNE V
Owner Owner's Name
information is required for every West Barnstable Ma 02668 9/2/2013
page. Cityrrown 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 filling out forms A. General Information
on the computer, I ��
use only the tab 1. Inspector:
key to move your
cursor-do not Sean M. Jones
use the return Name of Inspector
key.
S.M.Jones Title V Septic Inspection
Company Name
74 Beldan Ln.
Centerville Ma 02632
City(rown State Zip Code
774-248-4850 smjonestitle5@gmaii.com SI4522
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
a
9/2/2013
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 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 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.
/ l3
t5ins•3/13 Title 5 Official Inspection Form. ub rface Sewage Disposal System•Page 1 of 17
Commonwealth of Massachusetts
t� r Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
4 M 24 Briar Lane
Property Address
MOODY, BRUCE S &SUZANNE V
Owner Owner's Name
information is required for every West Barnstable Ma 02668 9/2/2013
page. Cityrrown 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 24 Briar Lane West Barnstable is served by a Title V septic system
consisting of a 1500 gallon septic tank, distribution box and 3x500 gal leaching chambers. The
system was found to be in proper working condition at the time of inspection.
B) System Conditionally Passes:
❑ One or more system components as described in the"Conditional Pass" section need to be
replaced or repaired. The system, upon completion of the replacement or repair, as approved by
the Board of Health, will pass.
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.
i
❑ Y ❑ N ❑ ND (Explain below):
t5ins-3113 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
24 Briar Lane
Property Address
MOODY, BRUCE S &SUZANNE V
Owner Owner's Name
information is required for every West Barnstable Ma 02668 9/2/2013
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):
t
C) Further Evaluation is Required by the Board of Health:
ti
❑ 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-3/13 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 3 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
a Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
24 Briar Lane
Property Address
MOODY, BRUCE S &SUZANNE V
Owner Owner's Name
information is required for every West Barnstable Ma 02668 9/2/2013
page. Cityrrown State Zip Code Date of Inspection
B. Certification (cont.)
2. System will fail unless the Board of Health (and Public Water Supplier, if any)
determines that the system is functioning in a manner that protects the public health,
safety and environment:
❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within
100 feet of a surface water supply or tributary to a surface water supply.
❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water
supply.
❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water
supply well.
❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or
more from a rivate water supplywell".
P
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 '/2 day flow
t5ins•3/13 Title 6 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
M 24 Briar Lane
Property Address
MOODY BRUCE S& SUZANNE V
Owner Owner's Name
information is required for every West Barnstable Ma 02668 9/2/2013
page. Cityrrown 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•3113 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
M 24 Briar Lane
Property Address
MOODY, BRUCE S& SUZANNE V
Owner Owner's Name
information is required for every West Barnstable Ma 02668 9/2/2013
page. City/Town 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?
® El available
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 bedrooms(design): 4 Number of bedrooms(actual): 4
DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 440 gpd
t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17
Commonwealth of Massachusetts
W Title 5 Official Inspection Form
o Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
�^M 24 Briar Lane
Property Address
MOODY, BRUCE S& SUZANNE V
Owner Owner's Name
information is required for every West Barnstable Ma 02668 9/2/2013
page. City/Town State Zip Code Date of Inspection
D. System Information
Description:
Number of current residents:
2
Does residence have a garbage grinder? ❑ Yes 0 No
Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes ® No
information in this report.)
Laundry system inspected? ❑ Yes ® No
Seasonal use? ❑ Yes ® No
Water meter readings, if available (last 2 years usage(gpd)):
Detail:
Sump pump? ❑ Yes ® No
Last date of occupancy: currentDate
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•3/13 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 7 of 17
Commonwealth of Massachusetts
W Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
M 24 Briar Lane
Property Address
MOODY, BRUCE S& SUZANNE V
Owner Owner's Name
information is required for every West Barnstable Ma 02668 9/2/2013
page. Citylrown 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-3/13 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
M 24 Briar Lane
Property Address
MOODY, BRUCE S&SUZANNE V
Owner Owner's Name
information is required for every West Barnstable Ma 02668 9/2/2013
page. Citylrown State Zip Code Date of Inspection
D. System Information (cont.)
Approximate age of all components, date installed (if known) and source of information:
original system, house built 2001
Were sewage odors detected when arriving at the site? ❑ Yes ® No
Building Sewer(locate on site plan):
Depth below grade: 2
feet
Material of construction:
❑ cast iron ®40 PVC ❑ other(explain):
Distance from private water supply well or suction line: feet
Comments(on condition of joints, venting, evidence of leakage, etc.):
Joint were ok, no leaks, vented through the roof
Septic Tank(locate on site plan):
Depth below grade: 1.5
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: 1500 gallons
Sludge depth:
6"
t5ins•3/13 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
24 Briar Lane
Property Address
MOODY, BRUCE S&SUZANNE V
Owner Owner's Name
information is required for every West Barnstable Ma 02668 9/2/2013
page. Citylrown 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, 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 should be cleaned soon and again every 2 years for proper maintenance. Tank is located in
driveway and is h-20 loading. covers are on risers. 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•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
^M 24 Briar Lane
Property Address
MOODY, BRUCE S& SUZANNE V
Owner Owner's Name
information is required for every West Barnstable Ma 02668 9/2/2013
page. Citylrown 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•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 11 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
o Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
' M '< 24 Briar Lane
Property Address
MOODY, BRUCE S& SUZANNE V
Owner Owner's Name
information is required for every West Barnstable Ma 02668 9/2/2013
page. Cityrrown State Zip Code Date of Inspection
D. System Information (cont.)
Distribution Box(if present must be opened) (locate on site plan):
0,l
Depth of liquid level above outlet invert
Comments(note if box is level and distribution to outlets equal, any evidence of solids carryover, any
evidence of leakage into or out of box, etc.):
Distribution box was in good condition, no rot, water level was even with outlet invert.
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•3/13 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
,M 24 Briar Lane
Property Address
MOODY, BRUCE S& SUZANNE V
Owner Owner's Name
information is west Barnstable
required for every Ma 02668 9/2/2013
page. Cltyrrown State Zip Code Date of Inspection
D. System Information (cont.)
Type:
❑ leaching pits number:
® leaching chambers number: 3x500 gals
❑ 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.):
Leach chamber was found to have 6"of standing water with no sign of past hydraulic overloading.
Cover is on riser.
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•3/13 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
M 24 Briar Lane
Property Address
MOODY, BRUCE S&SUZANNE V
Owner Owner's Name
information is required for every West Barnstable Ma 02668 9/2/2013
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.):
i
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•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
w
M 24 Briar Lane
Property Address
MOODY, BRUCE S & SUZANNE V
Owner Owners Name
information is West Barnstable
required for every Ma 02668 9/2/2013
page. CityTTown 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
Fron)
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Sins•3/13 &msL•r —^ •-_ _-____.+�',cif..c �•.�-5v_,v
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
24 Briar Lane
Property Address
MOODY, BRUCE S &SUZANNE V
Owner Owner's Name
information is required for every West Barnstable Ma 02668 9/2/2013
page. Cityrrown 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•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17
Commonwealth of Massachusetts
4 Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
M 24 Briar Lane
Property Address
I
MOODY, BRUCE S &SUZANNE V
Owner Owner's Name
information is required for every West Barnstable Ma 02668 9/2/2013
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•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17
TOWN OF BARNSTABLE
LOCATION -Br;6X nto *Z q pour, SEWAGE # P
VILLAGE Wr- - rYKQJi - MA ASSESSOR'S MAP & LOT
INSTALLER'S NAME&PHONE NO.
SEPTIC TANK CAPACITY FO,"ZQ
LEACHING FACILITY: (type) .3 � C D1I/(cl Jb(size)�?go.4-X /2
NO.OF BEDROOMS q
BUILDER OR OWNER D
PERMITDATE: w OMPLIANCE DATE:
Separation Distance Between the:
` Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet
Private Water Supply Welf 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
� II
00,
i
. 1
Front
�Qh
�9e
s ,
34 7
L)
4 y4
�l� �" Ll
TOWN OF BARNSTABLE
LOCATION Briar Lane -*'2.q Reyief SEWAGE # 9'3
VILLAGE Wft-:iL&rrdTabfe {(�wlA ASSESSOR'S MAP & LOT 1.
INSTALLER'S NAME&PHONE NO. UdL/t".41 lerAnejU/S0�3GZ-;,1 _
SEPTIC TANK CAPACITY /��aD o,uI &26
LEACHING FACILITY: (type) 3 N,20,,fiDdGI 42rvu (size) y ty
,fx iz.s
NO.OF BEDROOMS q
BUILDER OR OWNER [�
PERMITDATE: ZZWIZWI OMPLIANCE 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) Fee
Furnished by
r ,
3q 7 '
q4 L)q
N�
i
/A
� No. � Fee� `=
s..THE COMMONWE TH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS
ZIppfication for �Disspoml 6pgtem Construction Permit
Application for a Permit to Construct 90 Repair( )Upgrade( )Abandon( ) Ycomplete System ❑Individual Components
Location Address or Lot No. ow- awN'e+ Owner's Name,Address and Tel.No.
l 2i lapul*v 1,t4r,4e, 1361� s �o��,� W-evIN O'KY-Mre PO tact( (43
Asses ssorr's ap/Parc 1 _ 1E (�
F�A,n.r l5 I J < Vv eS`r 82 W S•T fA V3 L C WVA d tp 4O�S
Installer's Name Address,and Tel.No. Designer's Name,Address and Tel.No. 4 Z$—60_85
1-
4o 6 1N0Lg Qa w,WITO"M ma&S
Type of Building: L
Dwelling No.of Bedrooms_ T Lot Size L431 '9 3sq.ft. Garbage Grinder
Other Type of Building No. of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow $ gallons per day. Calculated daily flow LA 4 b gallons.
Plan Date 9-9'-9 9 Number of sheets 3 Revision Date
Title S t'rP— Pt-"J-0 Sets VA f,, pL1A
Size of Septic Tank 1,500 Type of S.A.S. '2®
Description of Soil SeG p),A"y
�9�tJl.k td TI Orr q Paz 1 q rl (a 13 R UC-e M%A V lo kk
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 Tit�oard
ironmental Code and not to place the system in operation until a Certifi-
cate of Compliance has been iss b Health.
Signed Date
Application Approved b Date 45��7 2
Application Disapproved for the following reasons
�
Permit No. N Date Issued �� "
j THE COMMONWEALTH OF MASSACHUSETTS �/n
BARNSTABLE, MASSACHUSETTS �J( jJ�
Certificate of Compliance
THIS IS TO CER, ,Y,that the site S a i osal System Constructed(�)Repaired( )Upgraded( )
Abandoned( )by
at 11 t 1 g P'1 Ar k6ft,44- 2 y Grur;V, 4'vk*�P_' has been constructed in accordance
with the provisions of Title 5 and the for Disposal System Construction Permit No .255 7 dated Zrl��
Installer Designer SCt r V'e Ct St(1.'f'
11
The issuance of this 'e h 1 not be construed as a guarantee that the I fu ct n desi p
Date Inspector
No. r .::.(w Fee
THECOMMONWE LTH OF MASSACHUSETTS `' Entered in computer:
t PUBLIC}HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS Yes
i
01pplication for Mi�pogal *vmem Construction permit -
Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) *omplete System 0 Individual Components
Location Address or Lot No. �, 1 C3•�(y8gr 1.1P1fV� Owner's Name,Address and Tel.No.'
2'{. 6 -ty*v '->�, %3i3 .r '7°,rl�,6.� Kam!%+V o'I-l►5ire Q'o C3aK (,83
Assessor's Map/Parcel 1 r
�,,,�,- o� - � � a 1 v(.-mil `�isT 8w�rtws'Tw��� '►Mv4 az(,��
Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. 4 Z S-do SS
r 4 0 fa 1 w o H sera 1(Z d w1 ws rr 6
_ Type of Building: 431593
Dwelling, No.of'Bedrooms_ f Lot Sizesq:ft.- Garbage Grinder( ) NO
!� Other Type of Building No. of Persons Showers( ) Cafeteria( )
/ Other Fixtures
` { Design Flow $ gallons per day. Calculated daily flow LA 4 d
P Y Y gallons.
+ Plan Date 9-mil-9'7 Number of sheets 2(0- C)Q
„¢. Revision Date f'
Title S IT2 Prm-0 SP-L- -P, PLAIV-
j Size of Septic Tank 1500 Type of S.A.S. 20
< .. Description of Soil sec. A-ry-
K�'
_. ff?o-r 22 ''1 I ,a. 13 Ui-e n^%.t V +P u,
r Nature of Repairs or Alterations(Answer when applicable)
iiT ti (
'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 Till f the Environmental Code and not tc plate the system in operation until a Certifi-
cate of Compliance has been is b is card of Health.
Signed Date
Application Approved by Date 6", "0 .fit
—' Application Disapproved for the following reaTns
i Permit No. :; ' Date Issued
.__
THE COMMONWEALTH-OF MASSACHUSETTS `4
BARNSTABLE, MASSACHUSETTS �\ "
t y
(Certificate of (Compliance
THIS IS TO.CERTEMY, that the Qrksite Se a e �s 'osal System Constructed('' Repaired ( )Upgraded( )
Abandoned( )by Q —
at ),C 41 ( k 1!ht` ki,&� I a y ('RlW k&AIV420 has been,constructteed-in accordance
' with the provisions of Title 5 and the.for Disposal System Construction Permit No. - V 7 k/dIated Za r" 9$L
Installer ' Designer k1t'a SU rV� C Zt 1`v� n i
The issuance of this .e t a not be construed as a guarantee that the s ,will functi n a�'esi :.
g
Date j rf
Ins ector ,1 /
.�- NO.
��r.. !� ------------------------=Fee ,-����
dnr
THE COMMONWEALTH OF MASSACHUSETTS
E ,
PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS
M.5p0al *p5tem Construction hermit
Permission is hereby granted to Construct( Repair( )Upgrade( )Abandon
System located at ko-r w Q'Q l k"-e _
4 C3 2 tw I-la Jve
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 permit.
Date: Approved by
q 17- 3
:EF-22-9 i 9Uh 1 1 =1 Ehr I F _T E,H LABS �L� _N_ r.-}a}i_. F'. 49 S
.561,.,QI. _
\ ti�
AWN 'ABLE COUNTY HEALTH 0 AND ENVIRONMENTAL D�pgpTMENT
SUPEF110R COURT HOUSE
° r�A a BARNSTABLE 5
, M ASSACNUSETTS 02630
}. .. 11t
J,N FHONIE;382-2511
B R I �F) I,�'�.\r.F
F.,i. ' j.,��F LAb 337
J A ili�� _it-,:Ci. t c'a '
AFFE
1-)11 rr r
r.r 1.?e u
iC,2Z; 1. z?Ra= WeI a_ t
lC+t,'2i.. A.B11!E' Date c,L I.: ,i i,.: c'Yi<ti.
n��i.e i2 7 i 7
of P.21c:it'& 1 ;
?..+.:ji.100 1111,
r't7llcia.l.��ti�ri.t�� (ro _t:ror;ll�lc>�,i,_rrli b1.�2
t 0. 1,
1 . 4
0 . 0
0 ) _i
:r-HE
. F�(�r,r_c_•,;vIAIc, ,_t.:,��l ,�arz1=� �r�::; 1,]. , �'.
fa f a 1. cyin,, i, f,. a t F?,d I)a t atli F 7
t
.' F. f3Oit2'21E3, �L�h�3;;jt'.t-11:•�- CI. .
.
-22-9T NON 11 :31 ENV IR'OTEUH LOPS 5C 6 4 4 e. P 02
Barnstable County Health and Environmental Laboratory
Superior Court House, Route 6A
P.O. Box 427
Barnstable, MA 02630
(508) 362-2511 ext. 337
Volatile Organic Analysis Analytical Method: 502 . 2
Collection Date: 08/27/97 Date Received: 08/27/97 Analysis Date: 09/05/97
Client: YEVIN 01HARE
Mailing MIN 01HARE SaMpla Location: 1
Address: I BRIAR LANE BRIAR LANE
WEST BARNSTABLE MA 02668 WEST BARNSTABLE
Sample ID: 561502 Laboratory ID: 561502
Sample Description: PRIVATE WELL
Report ng
mount MCL
1P�_o_UT
Detected (ug/L) (ug/L) Limit (ug/b)
Benzene BRL 5. 0 0. 5
Bromobenzene BRL 0.5
Bromochloromethane BRL 0. 5
Bromodichloromethane BRL 0.5
Bromoform BRL 0. 5
Bromomethane BRL 0. 5
n�Butylbenzene BRL 0. 5
sec-ButylbenZene BRIJ 0. 5
tert-Butylbenzene '--BRL 0. 5
Carbon tetrachloride ERL 5 .0 0.5
Chlorobenzene BRIJ 100 0. 5
Chloroetharie BRL 0. 5
Chloroform 17 0. 5
Chloromethans RRL 0. 5
2-Chlorotoluene .BRL 0. 5
4-Chlorotoluene BRL 0. 5
Dibromochlorornethane BRL 0. 5
1, 2-Dibromo-3-chloropropanp. BRL 0. 5
1, 2-Dibromoethane BRL 0. 5
Dibromomethane BRL 0. 5
1, 2-Dichlorobenzene BRL 600 0. 5
1, 3-Dichlorobenene BRL 0. 5
1,4-Dichlorobenzene 13RL 5. 0 0. 5
Diqhlorodifluoromethana BRL. 0.5
1, 1-Dichloroethann BRL 0. 5
1,2-Dichloroethane BRL 5. 0 0.5
1, 1-Dichloroethene BRL 7 . 0 0. 5
cis-1, 2-bichloroethane BRL 70 0 . 5
tran..,,-1,2-Dichloroethene BRL 100 0. 5
1,2-Dichloropropane BRL 5. 0 0.. 5
1j3-Dichloropropane BRL 0. 5
2t2-Dichloropropane BRL 0. 5
1, 1-Dichloropropene BRL 0. 5
cis-1, 3-Dichloropropene BRL 0. 5
trans-1, 3-DichlaropropA_rie BRL 0. 5
Ethylbenzene BRL 700 0.5
Rexachlorobuta.diene 'BRI, 0. 5
BRL: MCL- maximum ConEamiNanE EeTeil
P-2 2-9 7 rl 0 N 1 1 3-1 E N 1.)1 F'13T E C:H LOBS 508 4 4 G F. 03
page 2
Sample ID: 561502 Laboratory ID: 561.502
Compound Anount MCL
Detected (Ug/L) (ug j-,) Li.mit (Ug/L)
Isopropyl e BRL 0.5
4-Isopropyltoluene BRL 0. 5
Mothylene chloride BRL 5. 0 015
Naphthalene BRL 0. 5
Propylbenzene BRL 0. 5
Styrene BRL 100 0.5
1, 1, 1, 2-T(--,-traoh1oroethane BRL 0. 5
1, 1 , 2, 2-Tetrachloroethane BRL 0. 5
Tetrachloroethene BRL 5. 0 0. 5
Toluene BRL 1000 0. 5
1,2 , 3-TrichlorobenZene BRL 0. 5
1,2, 4-Trichlorobenzene BRL 70 015
1 ,, I, I-Trichloroethane BRL 200 0. 5
1, 1,2-Tricbloroethane BRL 5. 0 0. 5
Trichloroethene A-RL 5. 0 0. 5
Trichlorofluoromethane BRI, 0. 5
1, 2,3-Trichloropropane BRL 0.5
1,2,4-Trimethylbenzene BRL 0. 5
1, 3, 5-Trimethylbenzene BRL 0. 5
Vinyl chloride BRL 2 . 0 0. 5
Total Xylenes 10000 0. 5
BE�rc;�i—Repor Ing
RL: MCL: Contamnant Level
'��Ma�sF Zur�ne, �Lao�rator�yDi?rectox--------
17
' .
SEP-1 2-97 FR I 1 1 !2 7 EN''1 I F:UI_E�=;.li LF1Et'_ - 888
ME HAN )HELL DRILLING
338 Route 130 Unit 1.
SANDWICH, MBAR 86 5458'fS 02563
Decoy Realty
ATM.. Be U;y Aller►
�e milt. j
t'Ti�� well �) X Briar Lame, wil.L produce 10 to 15 dal I
No. -�-�---3 -- Fee-----Vim- ----
BOARD OF HEALTH
TOWN OF BARNSTABLE
New w-ell
ZppYication,forlVell t permit
Application is hereby made for a permit to Construct( ) Alter ( ),,fir Ryp`airr (- )an individual.Well at:
--------- sic-n S-ric�bl W6 - - —� U1 a -a
/ Location — Address Assesso s Map and Parcel
--1-------3-r-,--cs -----1"q------- V-'-11.
Owner Address
--E - -— -Q' - ------------------------ sz --R - -1- --I - �r-�o_l�L!C-t" r-to,
Installer — Driller, d ress 5�3
Type of Building =rA`k3S-cr,'&l K
Dwelling--------------------------------------------------------------------
Other - Type of Building-------------------------- No. of Persons-------------------------------------------------
Typeof Well---------------�- l— __ Capacity—--------------------------------------------------------------------------------
Purpose of Well pep---------------
Agreement: 6
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 Cer ificate of Com liance has been issued by the Board of Health.
++ Q
Signed- -— - - `— -- —-- -- --� -1 ---+-
date
Application Approved By---------- ------- - a' =
date
Application Disapproved for the following reasons:-----------------------------------------------__:_______—-----------------------------_
---------------------------------------------------------------------------------------------
date
��✓ — Issued -- - - ----------------- - -- --- -
Permit No. ----------------� �-�---------------- -----------
date
BOARD OF HEALTH
TOWN OF BARNSTABLE
(Certificate ®f (Compliance
THIS IS TO CERTIFY, That the Individual Well Constructed ( ), Altered ( ), or Repaired ( )
by -------- -----------------------------------------------------------------------
2 Ins filer
at--------1-------- �----------�n-----------�f�` �1�_ .1_Cl S� --------------------------------------------------------------------------------------
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. -= - -----Dated---------------------------
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL
SYSTEM WILL FUNCTION SATISFACTORY.
DATE-------------------------------------------- --- Inspector-----------—-----------------------------------------------------------------
NO. Fee------ ---------
BOARD OF HEALTH
TOWN OF BARNSTABLE
���rication,�or�eir-�on�tructon�erntit
Application is hereby made for a permit to Construct ( ), Alter ( ), or Repair ( )an individual Well at:
- --_- - - - -t- �t - -- -
Location — Address `Assessor's Map and Parcel
---------------
Owner Address
—- nl�- —Y`'lVla 4�n - -— -- - — -- e ------?' __-—c---------
Installer,
— Driller Address K 0.?S63
Type of Building i3ar n�e CAZ,�c�v s-�r;a 1
Dwelling------------------------------------------------------------
Other - Type of Building No. of Persons--------°- -- r- —� --
L ---------- Capacity Type of Well------------------------- - ------ --- -----------------------------------------------------------------------------------
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 Compliance has been issued by the Board of Health.
Signed--' `-�-- = --lr t i _
----------------------------
date
Application Approved
date
Application Disapproved for the following reasons:----------______—---_---_---_------__---_----------------_—_______________________________
e
date
PermitNo. —---------------- Issued-------------------------------------
date
BOARD OF HEALTH
TOWN OF BARNSTABLE
Certiftcate ®f Compliance
THIS IS TO CERTIFY, That the Individual Well Constructed ( ), Altered ( ), or Repaired ( )
bY--------_- - -
Installer
at --------
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. -= - -----Dated----------------------------
THEISSUANCE 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
Veil Con6truct ion permit
q �,--
No.--f--�=---'- -- Fee----- .-------
Permission is hereby granted--------------?- ---- ' -°n_ r>------------------------------------------------------------------------------------------
to Construct ( ); Alter ( ), or Repair ( ) an Individual Well at:
No. -----------L— ,-_., � Ir_A 1,a "-6- d':1-11
Street
as shown on the application for a Well Construction Permit
No.--------------------------------------------------------------------------------------- Dated-----------------v--------- -`7 7- - -------
Q ,
- ---------------------------- -------------------------------------------------------
Board of Health
DATE-------------- =—' -�' -� - ---
14
gINC // /1. / , /�y..//F-/ / / , / _!:-j
` E
15
AgE, _ DEED:
EASEMENT
fzA
,
r�- sTR
/
- Lvji4 MBERITHEW
IV
T2
LO
- y _
a �
AM 136154-1 NO WELL WITHIN 150' OFROAD
PROPOSED SEPTIC SYSTEM
S69 00'05,EE ��� ; ,,,,
i
Proposed
_—_ drive
WELL l50' 46L \ �REFER uR h �� LOCUS
AREA ,
38 j w s . bol 5 i
+ [l, TP#4 GREAT
- 36 0 \ TP#3 moo.
�rP#i MARSHES
- a p \
o -- \\\ 00 P#
DRAINGAGE0_ 5 i
A,•
�\ EASEMENT !� 32 �' GARAGE � �'
�\ �� � \\ LAB 3
�� o \ \ --- LOCUS MAP.-
�! \ PROPO . D °� 1" = 1 000'
House' 10 0- A.M. 136121 '
\ EL = 53.0 6
116.B' 7— — PLAN REF 534155
��T 5 ASSESSORS MAP 136 PARCEL 55
ZONING DISTRICT• "RF"
LOT 1 so OVERLAY DISTRICT "AP"
�� A. M. 136122 MINIMUM YARD SETBACKS.,AREA-- 43, 593�- S. F. -� FRONT SIDE I REAR
24 \ �� 30 15 1 15
�
�6. \ PRO✓EC T L OCA TION
22 LOT 1 BRIAR LANE
BARNSTABLE, MA.
APPLICANT.
KE VIN O 'HAIRE
YANKEE SUR VEY CONSUL TAN TS
P. O. BOX 265
Q �! \ ExjLL UNIT 1, 40B INDUSTRY ROAD
--` LOT 2 0 xi WE MARSTONS MILLS, MA. 02648
af y ` °a �� L PH.(508)428-0055 — FAX(508)420—
5553
E
A. G. �SCALE. ' IF
'=► 919197
ROTH MURPHY cue, /
No.3 No.749
�' RE V.• 2124198 RE V.• 5126198
ST - IF
4 LA[�`�' �` JOB NO. 51258E1 II[SHEETI OF 3
i
EL. = 53.0'
TOP OF FOUNDATION
20' MIN.
10' MIN. CONCRETE COVERS
4" SCHEDULE 40 P. VC
MIN. PITCH 118 PER FT. 2"LA YER OF VENT
EL=51.5' 118"-112"
CONCRETE COVER WASHED STONE
6" MAX'� / i , , , , , , i / / , . , , , , , , / EL=52. 0 EL=54.5
4" CAST IRON PIPE 12" MAX /P1 TCH114' PERI MUM FT. 9„
CLEAN SAND MIN.
FLOW LINE EL=49. 0
INVERT 1 10" 14"
MIN. IN —'2 0,— ° 0000° O O O O O O O o 000°°
EL.= 50.0 -_ CAS �6 SUM LEVEL °o a a o 0 0 0 0 °°°
00
BAFFLE _ 49 50' INVERT o° °o°o 0 o L.=46.50
INVERT EL.--__ IN o 0
EL.=_4_9. 75' EL.= 49.25' EL.= 49.00' 4 4
(719 BE PLACED ON FIRM BASE) DB9 DISTRIBUTION INVERT
MECHANICALLY COMPACTED OR 6" OF STONE BOX (H-20)
1500--GALLONS EL.= 48.5
TO BE WATER TESTED 3 ACME 500 GAL UNITS 12.5 X 34.5 p
SEPTIC TANK IF MORE THAN ONE OUTLET t
PLACE ON 6" STONE 3/4" To 1-1i2•• SOIL ABSORPTION L
WASHED STUNS
SYSTEM (SAS) H-20
�t PROFILE O F BOTTOM OF TEST HOLE OR USGS PROBABLE WATER TABLE ELEV. _
SEWAGE DISPOSAL SYSTEM NO OBSERVED WATER TABLE (8/22/97) ELEV. =_39.5 _
NOT TO SCALE
3 ACME 500 GAL H-20 UNITS SPACED 6" APART.
4' STONE SIDES AND ENDS
12.5' X 34.5'
GENERAL NO TES 5' 0 VERDIG TO APPROXIMATELY 96 INCHES
*INSTALL SEPTIC IN FINE TO MEDIUM WHITE SAND HORIZON
I) ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.P.
TITLE 5 AND THE TOWN OF _.19AR1SL BLE____ RULES AND DESIGN CALCULATIONS.'
REGULATIONS FOR THE SUBSURFACE DISPOSAL OF SEWAGE. ,,
2) ONE COVER ON SEPTIC TANK SHALL BE BROUGHT TO
WITHIN 6" OF FINISHED GRADE, OTHERS WITHIN 12" NUMBER OF BEDROOMS . . . . . . . . 4
3) ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE OF t GARBAGE DISPOSAL . . . . . . . . . NO
WITHSTANDING H-10 LOADING UNLESS THEY ARE UNDER OR WITHIN TOTAL ESTIMATED FLOW
5 FT. OF DRIVES OR PARKING AREAS. H-20 LOADING SHALL BE ( 110GAL/BR./DAY x 4___ BR.) 440 GAL/DAY
USED UNDER OR WITHIN 5 FT. OF DRIVES OR PARKING AREAS. REQUIRED SEPTIC TANK CAPACITY 1500 GAL
4) ANY MASONARY UNITS USED TO BRING COVERS TO GRADE SHALL SOIL CLASSIFICATION . . . . . . . . 1
BE MORTERED IN PLACE. DESIGN PERCOLATION RATE 5 MIN./IN.
5) NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH x EFFLUENT LOADING RATE . � 74 GAL/DA Y/S.F.
DEEDED OR ZONING REGULATIONS. OWNER/APPLICANT IS TO LEACHING CAPACITY (AREA X RATE) 458 GAL
OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY. /DA Y
RESERVE LEACHING CAPACITY . . . 458 GAL DAY
6) UTILITIES SHOWN ARE APPROXIMATE ONLY, EXCA VA TION CONTRACTOR `ii� /
IS TO CALL "DIG- SAFE" AT 1-800-322-4844 AT LEAST 72 HOURS l (34.5 X 12.5 X . 74)*(34.5+34.5+12.5+12.5 X 2 X . 74)
PRIOR TO COMMENCING WORK ON SITE.
7) CONTRACTOR IS TO VERIFY GRADES AND ELEVATIONS AS WELL AS
SITE CONDITIONS PRIOR TO COMMENCING WORK ON SITE.
8) PARCEL IS IN FLOOD ZONE___
9) LOT IS SHOWN ON ASSESSORS MAP _136 AS PARCEL _55___. JOB NUMBER__ 51258E1 _____ SHEET 2 of 3
DATE OF SOIL TEST 8122197 SOIL TEST DONE BY BRUCE G. MURPHY, R.S.
SOIL TEST ANAL YSIS. WITNESSED BY: JERRY DUNNING
OBSERVATION HOLE 3 ELEV.__ 53.5
OBSERVATION HOLE I ELEV.=_ 54.5 PERCOLATION RATE �5 _ MIN.
DEPTH HORIZ TEXTURE COLOR MOTT OTHER DEPTH HORIZ TEXTURE COLOR MOTT. OTHER
0-12" A SANDY LOAM 10YR 5-1 0-12" A SANDY LOAM 10YR 5-1
12"-24" B LOAMY SAND 10YR 5-8 12"-36" B LOAMY SAND 10YR 5-8
4"-156' Cl FINE WHITE SANL 2 5Y 7-2 36"-96" Cl TIGHT IOYR 7-8
WHITE SAND
96"-168' C2 MED. WHITE SA ND 2.5Y 7-2 PERK
NO WATER ENCOUNTERED NO WATER ENCOUNTERED EL 39.5
OBSERVATION HOLE 2 ELEV.__ 53.5 OBSERVATION HOLE 4 ELEV.=— 56 _
DEPTH HORIZ TEXTURE COLOR MOTT. OTHER DEPTH HORIZ TEXTURE_ COLOR MOTT OTHER
0-12" A SANDY LOAM IOYR 5-1 0-12" A SANDY LOAM 10YR 5-1
12"-24" B LOAMY SAND 10YR 5-8 12"-36" B LOAMY SAND IOYR 5-8
4"—60" Cl FINE—MED. SAND 10YR 6-9 36"—72" Cl 112 TIGHT SAND IOYR 7-8
0"—78" C2 FINE SAND (TIGHT) 2.5Y 7-2 I 112 MED. SAND
TRACES OF SILT 72"-156' C2 FINE WHITE SAND 2.5 Y 7-2
(ONE SIDE OF HOLE)
78"-114' C3 FINE WHITE SAND 2,5Y 7-2
114"-13 " C4 FINE SAND & CLA Y 2.5Y 7-2 s NO WATER ENCOUNTERED
38"-15 " C5 FINE WHITE SAND 2.5Y 7-2 {
NO WATER EWC0 UNTERED
i
i
i
k JOB NUMBER __51258E1 ____= SHEET 3 OF 3