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HomeMy WebLinkAbout0029 MAGGIE LANE - Health EB2M AGGIE LANE Ex ARNSTABLE F/R 217 017 l I I 0 i m r a Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M 29 Maggie Lane Property Address Matthew& Pamet Brown Owner Owner's Name ; information is A l West Barnstable M 02668 March 28, 205 required for every W ✓ page. City/Town State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Impg out When A. General Information . I �� forms onfillint out f 3 on the computer, use only the tab 1. Inspector: f key to move your cursor-do not David D. Flaherty Jr., IRS, REHS use the return key. Name of Inspector Flaherty Environmental Services Company Name P.O. Box 81 Company Address Yarmouth Port 'MA 02675 City/Town State Zip Code 508-362-1657 SI#4713 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 March 29, 2015 Inspe or'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. t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 17 k Commonwealth of Massachusetts . Title 5 Official Inspection Form a Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 29 Maggie Lane Property Address Matthew& Pamet Brown Owner Owner's Name information is required for every West Barnstable MA 02668 March 28, 205 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: . 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. ❑ Y ❑ N ❑ ND (Explain below): I t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 Commonwealth of Massachusetts . Title 5 Official Inspection Form a Subsurface Sewage Disposal System Form-Not for Voluntary Assessments wM 29 Maggie Lane Property Address Matthew& Pamet Brown Owner Owner's Name information is required for every West Barnstable MA 02668 March 28, 205 page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) ❑ Pump Chamber.pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. B) System Conditionally Passes (cont.): ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the.Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: . ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 i Commonwealth of Massachusetts N W Title 5 Official Inspection Form _ Subsurface Sewage Disposal System Form-Not for Voluntary Assessments g P Y rY 29 Maggie Lane Property Address Matthew& Pamet Brown Owner Owner's Name information is required for every West Barnstable MA 02668 March 28 205 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) Y) 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 private water supply well". Method used to determine distance: **This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: I 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 'h day flow t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 Commonwealth of Massachusetts 4 Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ,M 29 Maggie Lane Property Address Matthew& Pamet Brown Owner Owner's Name information is required for every West Barnstable MA 02668 March 28 205 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or,privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to.a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well_ ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes" or"no"to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ El 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•3/13 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 29 Maggie Lane Property Address , Matthew& Pamet Brown Owner Owner's Name information is required for every West Barnstable MA 02668 March 28, 205 page. Cityrrown State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes" or"no" as to each of the following: Yes No ❑ ® Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ® ❑ Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? Were as built plans of the system obtained and examined? (If they were not ® ❑ available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ® ❑ Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS) on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ® ❑ Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] D. System Information Residential Flow Conditions: Number of bedrooms(design): 4 Number of bedrooms (actual): 4 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms). 440 t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 29 Maggie Lane Property Address Matthew& Pamet Brown Owner Owner's Name information is required for every West Barnstable MA 02668 March 28, 205 page. City/Town State Zip.Code .Date of Inspection D. System Information Description: 2 Number of current residents: Does residence have a garbage grinder? ❑ Yes Z 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 ears usage d well 9 ( Y 9 (gP ))� Detail: Sump pump? ❑ Yes ® No Last date of occupancy: 2015Date 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•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17 ' Commonwealth of Massachusetts . Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments wM 29 Maggie Lane Property Address Matthew& Pamet Brown Owner Owner's Name information is required for every West Barnstable MA 02668 March 28, 205 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Source u ce 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-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 f o Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments �M 29 Maggie Lane Property Address Matthew& Pamet Brown Owner Owner's Name information is required for every West Barnstable MA 02668 March 28, 205 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known) and source of information: installed 2/7/2002 per BBOH Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 2 feet i Material of construction: ❑ cast iron ®40 PVC ❑ other(explain): >100 Distance from private water supply well or suction line: feet Comments (on condition of joints, venting, evidence of leakage, etc.): joints tight, venting through dwelling adequate, no evidence of leakage Septic Tank(locate on site plan): Depth below grade: 1.5feet 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 gallon Sludge depth: 3" t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 1 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 29 Maggie Lane Property Address Matthew& Pamet Brown Owner Owner's Name information is required for every west Barnstable MA 02668 March 28, 205 page. City/Town 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 i t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 29 Maggie Lane Property Address Matthew& Pamet Brown Owner Owner's Name information is required for every West Barnstable MA 02668 March 28, 205 page. City/Town 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 31" Scum thickness Distance from top of scum to top of outlet tee or baffle 8° Distance from bottom of scum to bottom of outlet tee or baffle 14" How were dimensions determined? dip stick, tape measure Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): maintenance pumping should be performed every two to three years, inlet&outlet tees good, tank seems structurally sound, liquid level appropriate, no evidence of leakage 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•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Fora _ Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 29 Maggie Lane Property Address Matthew& Pamet Brown Owner Owner's Name information is required for every West Barnstable MA 02668 March 28, 205 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert 0" Comments (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.): dbox seems level, no evidence of leakage 4 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: i t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17 i I " Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 4M 29 Maggie Lane Property Address Matthew& Pamet Brown Owner Owner's Name information is required for every West Barnstable MA 02668 March 28, 205 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: ® leaching fields number, dimensions: (1)25`x 25' ❑ 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.): soils loamy sand and sandy, no signs of hydraulic failure or breakout, no ponding, stone clean and dry, vegetation typical (lawn) 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 at 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 10 29 Maggie Lane Property Address Matthew& Pamet Brown Owner Owner's Name information is required for every West Barnstable MA 02668 March 28, 205 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy (locate on site plan): P ) 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 Forth:Subsurface Sewage Disposal System-Page 14 of 17 L Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ,w 29 Maggie Lane M Property Address Matthew& Pamet Brown Owner Owner's Name information is required for every west Barnstable MA 02668 March 28, 205 page. City/Town 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 CIR� R/(0 `3 t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 15 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form A Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 29 Maggie Lane Property Address Matthew& Pamet Brown Owner Owner's Name information is West Barnstable MA 02668 March 28, 205 required for every W ; page. CitylTown 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: 5'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: 11/16/2001 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: estimated high groundwater is 5'below grade as shown on as-built; bottom of SAS is 4' above this level. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 Commonwealth of Massachusetts _ ` 'Ode 5 Offoc'W Mspecti®n Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 29 Maggie Lane Property Address Matthew& Pamet Brown Owner Owner's Name information is required for every West Barnstable MA 02668 March 28, 205 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 AsBuilt Page 1 of 1 TOWN OF BARNSTABLE _Fc LOCATION,,, / SEWAGE # -2tW 7/6 VILLAGE -!1V �'�43E.� ASSESSOR'S MAP 8t LOT ?1 -01 INSTALLER'S NAME&PHONE NO. Mt.J SEPTIC TANK CAPACITY ��r• {� _� ' •AX�XIi LEACHING FACII.TI'Y: (type) �J Y Olt;, (size) NO, OF BEDROOMS � pp BUILDER OR OWNER ''�f� l.I PERMrrDA :_11 Ib O r 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 � I r7oti .7 �g., c h 159 -3„ s 3 i g 1 5`{ rb- C._ 1 J C' � � 47 http://issgl2/intranet/propdata/prebuilt.aspx?mappar=217017&seq=1 1/9/2015 TOWN OF BARNSTABLE � LOCATION —A� SEWAGE # UPI' 7/6 VILLAGE ASSESSOR'S MAP & LOT 21 7—0/7 I INSTALLER'S NAME&PHONE NO. � SEPTIC TANK CAPACITY LEACHING FACILITY: (type) (size) NO. OF BEDROOMS Lf BUILDER OR OWNER PERMIT DATE: It I6 D 1 COMPLIANCE DATE: 21 71d L I 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 I i PD 59 -3' (3 - 1 s �- 'j7J C- a 47 TOWN OF BARNSTABLE frL LOCATION SEWAGE # VILLAGE e,4 ST1A- - LE ASSESSOR'S MAP & LOT 21 7-0/7 INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY -� LEACHING FACILITY: (type) :7�.r'Sl :c _ (size) NO. OF BEDROOMS L BUILDER OR OWNER PERMITDATE: It bh 1 COMPLIANCE DATE: 217Zd-L Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility o 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 Po I' f3 - 1 s c �- No. i Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: es '. PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS ZtppYiration for 30i!5pozat bpgtem Construction Permit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) Complete System ❑Individual Components Location Address or Lot No. 7_ E Owner's Name,Address and Tel.No. `-� i,v l3q-RN'S7l°tf3LC �ct►.ty+-�c� � �-���-t'�r� Assessor's Map/Parcel 17 'r7 Al A vzbb8 too Lull10-L✓ �'s'7 o 2�& W, ,t3a�n 3 Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. k,Y_G 0,L�< i\i� -Paul F'S w e-e45er. pCS Type of Buildin (9wellin No.of Bedrooms Lot Size�L'88q, sq.ft. Garbage Grinder er Type of Building CO do D Fg-Afl-= No.of Persons N I fN Showers( ) Cafeteria( ) Other Fixtures rt-W aW d l l k Design Flow 6a I Inm<D 1j,", 'Ago gallons per day. Calculated daily flow I gallons. Plan Date '3Ofo1�04( Number of sheets 1 Revision Date 13.10 Title e I Size of Septic Tank Type of S.A.S. �►2 Description of Soil ,�� S2f I bR S 6-�-+ a.n! Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by Signed Date Application Approved by - Date Application Disapproved for the following reasons Permit No. El ~ Date Issued �- I No. Imo'!� ` `! !3 Fee �YHE COMMONWEALTH OF MASSACHUSETTS Entered in computer: es 17 PUBLIC HEALTH DIVISION -TOWN OF BARNSTdBLEs M_A`SS HUSETTS `-- 0(ppYtcation for Migo5a[ *pgtem Cougtructiou Permit _. Application for a Permit to Construct O Repair( )Upgrade( )Abandon( ) Complete System ❑Individual Components Location Address or Lot No. 20.ka6s i,e I—�E Owner's Name,Address and Tel.No. `"'� W• GA RNSVOL E j A• co—A-4 r Assessor's MapRarcel �' t 7 tit l cftba 1 o 0 W'1 �'`�' S Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. (5001 1-L1�� 1 Type of Building: wellin No.of Bedrooms Lot Size d'488q'q sq.ft. Garbage Grinder( ') O r Type of Building VJOu 0 FK.AK4' No.of Persons ►J Showers( ) Cafeteria( ) w Other Fixtures n-f to d W i j j l l !� Design Flow GA 11>me, a gallons per day. Calculated daily flow 48( gallons. 'Plan Date 310 troll Do l Number of sheets I Revision Date " 13 f Q I Title 1 e DI C"-%t. .1.►� W �6v�-rtlr - 'Size of Septic Tank ( 0` Type of S.A.S. Description of Soil So I I l o R S t7r-1 A l a�v Nature of Repairs or Alterations(Answer when applicable) ., 4 Date last inspected: 3 " Agreement ' The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued byM�o d of Hea ' (© Signed Date l $�gpplic tion Appro' bye,- - - - _ z.�::�_Da(e- r , Application Disapproved for the following reasons `� r Permit No Date Issued Gr3 THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS A _ a Certificate of Compliance '`THIS IS TO CER FY, that the On-site Sewage Di s osal System Constructed(/,')`Repaired( )Upgraded( ) Abandoned( )by at 1. ! has been constructed in accordance with the provisions of Tide Aid the for Disposal System Construction Permit Installer Designer The issuance of this permit shall not be construed as a guarantee that the syst will function as s' ned. Date 7I1�a Inspector t Nol/1 I�� �1�G7 Fee THE COMMONWEALTH OF MASSACHUSETTS i PUBLIC HEALTH DIVISION - BARNSTABLE,. MASSACHUSETTS � t ligo!gat *p5tem Construction Permit ; Permission is hereby granted to Construct(Z Repair( )Upgrade( )Abandon( ) System located at '4 �-S and as described in the above-Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this pe 'fit. Date: 1� y C Approved by i " - CCdd �o eo New 5 Foot Knee Wall k } :o-T3z , cr".'v d'4,�'�Ea.,.^r. kn.;.::�:�w4.i.:.W;7+!Wu. •+£.5-.^ka.t... .....;:t aA 9 A Cd � , •� > L S 9 � aI Shelf w. Hanger Rod � � r rr 01 00 d -. .e •.r F U-3 112" 4'-7" y o • 1 vI y1 i Attic c i I Access Q PROPOSED w I DORMER � x ADDITION 4. 2 } I Z WW 31. rq a C O U L N O U) _O 4'-9114" 12'-7" 12'-1112" 4'-9114" LL LU z est Second Floor N N " SCALE: 1/4" = 1'-0" Cd C9 r ' A to } i S k • g ;i z"'^ �-t_1{,.•^tip.. '..._'e�.'yLe`" .-.�» � i� • !` � i ... .. •^I I Vl v ^"1 Extend D k n s K ^Chimney 2� s s 3: D fi •A r N 00 tw g h • `` V V ELI- a, .P I ^dE-.ems:,�-'�c's.sss•:a?-, �C::-:.>n+s+ze=:f::-2sc.... . :c_ta::-.h<,."S...r:.-_:.s_.; xai + ,2+ "'cs+:.•,'S.:at. .t.4:+pk..- :cw..:c:. w. _.^6^e '•?..-..t f — — — — — _ — r s, 3 3 x W 13 13 E.y PROPOSED 3 Office INFILL Nook Z ADDITION A z y FH • �; „' '' �a � —Align w.Windows Above 77 LXO w.�si� X •R`<_ y;�. ..k. 4, iK 'k'Y., n3;.+tt :;2°M -.F-`.w, 0 4 12' Gas Meter& Piping— I LL — I — — — — — — — — — — — — — — — — — — — —� LU I Z est First Floor N N SCALE: 1/4" = V-0" ALL �-- _ _--. r r t ry i . n 1 r • w ♦ t , a S .. ' 1 ' �cvyy BENCHMARK: TOP OF FOUNDATION NAIL TO r BE SET, ELEV 51.00 N RrE, 6.♦ . MAX � 6q � LEVEL 2' MIN 5 - 4"(D SCHED 40 PERF PIPE, 1.00' MIN, 3.00' MAX 5' SPACING CROSS-CONNECT `- 0.5� SLOPE, 9" MIN, 36" MAX 0.17 3" SEEDED TOPSOIL, LATERALS AND VENT 2% SLOPE �„ 46t EXIST. PEASTONE S v, 1.25 4 7.6 5 M A OPT rWv ♦1 1.17 44.65 50.50 44.50 45.00 0.25 44.75 44.33 3/4" TO 1-1/2" 0.83 4.00 DOUBLE WASHED STONE ll 44.15 LOCATION MAP , 1 DISTRIBUTION BOX 43.52 BOTTOM LEVEL 1500 GALLON SEPTIC TANK DB-3 H-10 5.00 ST-1500-H-10 WATER TEST TO 25'W x25'L {6..H FIELD PROVE ECUAL FLOW I I - i ASSESSORS �•�;� A,P : 21 ,17 r. 6" GRAVEL ON NATIVE SOIL OR ELFV nr ',l0 LE�r 'c ar wrr. MECHANICALLY COMPACTED BASE _ I GENERAL NOTES 1 ) ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO 310CMR15.00 THE STATE ENVIRONMENTAL CODE TITLE V: MINIMUM REQUIREMENTS FOR THE SUBSURFACE DISPOSAL OF SANITARY SEWAGE, AVAILABLE FROM SOIL TEST SERIES 2 r : STATE HOUSE .BOOKSTORE 1 -617-727=2834, AND DATE OF SOIL TEST 05-03-01 TOWN OF BARNSTABLE RULES AND REGULATIONS FOR THE SUBSURFACE DISPOSAL OF SANITARY SEWAGE, WITNESSED BY GLEN HARRINGTON SEWAGE DISPOSAL S v� T� n n PROFILE 2) CONTRACTOR SHALL VERIFY LOCATION OF EXISTING SOIL EVALUATOR Br J. YOUNG I I iVl UTILITIES. CONTACT DIG-SAFE AND LOCAL WATER NOT TO SCALE DEPARTMENT 3 BUSINESS, DAYS BEFORE BEGINNING CONSTRUCTION. 3) CONTRACTOR RESPONSIBLE FOR OBTAINING .♦�....,', ,,�: :� „ v�, , ' r t, • i: , . a ADEQUATE HORIZONTAL AND VERTICAL CONTROL. 0, 4) CONTRACTOR SHALL VERIFY ALL PLUMBING FLOWS OBSERVATION HOLE 2- 1 7g°19'0 o TO PROPOSED SEPTIC TANK, AND SHALL LOCATE ALL ELEV.= 44.52 N g5r08 OTHER EXISTING SANITARY FACILITIES ON PREMISES NO DEPTH HORIZ SOIL TEXTURE COLOR MOTTLING OTHER �. E o LONGER USED AND PUMP, AND FILL OR REMOVE SAME 0-9" A FINE SANDY 10YR 3/3 NONE MASSIVE, FRIABLE N �� IN ACCORDANCE WITH LOCAL REQUIREMENTS. LOAM 47.09' V57 5 ALL COVERS OF SANITARY UNIT SHAL L� LL BE 9-24" Bw FINE SANDY 10YR 6/4 NONE MASSIVE, FRIABLE 2'�5 15.E - LOAM 1 �2 y BPOU�GHT TO .WITHIN 6" OF FINISHED GRADE. ALL ' 24-35" Cl LOAMY FINE 10YR 6/2 NONE MASSIVE, FRIABLE N 43�4 52 "�"ASONpY UNITS TO BE MORTAPED IN PLACE. ALL PVC SAND .. PDE 7P, E,_- SAND SOLVENT V'IELC�EC�_ GARAGE -_..,__ ._...�-�,, � _ ♦: _ . �-4 'NONE---_ MA IVE FIRM �°`. , 35 6 C2 STRATIFIED 10YR 6/1RSS SLAB u, ._ �. _,- UNLESS OTHERWISE SPECIFIED, EXISTING AND FINAL PINE 5. ECG. E . . .�_� }i.r _ - - - 50.� � °' � GRADES H 46-120 I C3 SAND IOYR 6/8 7.5YR5 STRA TIFIEL). ' "' '- "` `y` 5 SHALL" REMAIN ' ESSENTIALLY UNCHANGED. I / � IN��•LE - 51 0.75 AC��ES 50.25 COMPLIANCE IAN WITH c S TO 072" 89 Q ,0 J GRAIN, LOOSE 24889.. 0. �T. 7) NO DETERMINATION HAS BEEN MADE A PERCOLATION TEST DONE AT A DEPTH OF 46"-58" PERCOLATION RATE <:2 "!�N �`'N'_'" DRIVE .. L CE DEEDED OR ZONING RE�T''!�TIONS 5 17 AND OP REGULATIONS. OWNED./APPLICr '. : �,',�5 ? PERCHED WATER AT 72" EL.=38.52 OBTAIN SUCH DETERMINATION FROM APPROPPIA T E I AUTHORITY. FINIS ►�`�" 30.5 8) EXCAVATE AND REMOVE L�NJ-_ ThBI_r ,TERIAL OBSERVATION' HOLE 2-2 50 - - FIRST FINISHED SHED TO BE BELOW THE LEACHING IN`✓'c•1='T LLEVATION F _5' ELEv.= 44.57 49 AROUND LEACHING SYSTEM AND REPLACE IT %- DEPTH HORIZ SOIL TEXTURE COLOR MOTTLING OTHER FLOOR RELOCATED 52.0 0 \ 0-10" A FINE SANDY 10YR 4/ NONE MASSIVE, FRIABLE Q' 48 o SAND. 5p I LOAM 9) IF ANY DETAIL OF THIS PLAN IS NOT UNDEP� �,. . 10-30" Bw FINE SANDY 10YR 6/ NONE MASSIVE, FRIABLE ST 1-2 TERRACE o r EL = 47, 7 51.3.3 •� DESIGN CALCULATIONS CONTACT DESIGN ENGINEER AT 394- 1960. LOAM 30-96" Cl MED. FINE 10YR 5/6 NONE SINGLE GRAIN, LOOSE Z o NUMBER OF BEDROOMS 4.- ) _ 10 48 HOUR NOTICE IS REQUIRED FOR ANY I SAND 40% STONES, COBBLES GARBAGE DlsFosAL UNIT NET ALLOWED INSPECTION OR CERTIFICATION REQUIRED. CD 96-120" C2 FINE SANDY - NONE - r l DRIVE T B DESIGN FLOW 11 ) SITE LIES WITHIN FLOOD ZONE CAS SHOWN ON LOAM _ EXISTIN REMOVE `0' TREE 4 BEDROOMS x 110 GAL/(BR-DA)=44 P MAP 250005 0008 C DATED 07-03-86. o LE 8.5y REQUIRED SEPTIC TANK CAPACITY 1500 GAS (MIN) 47 ACTUAL SEPTIC TANK CAPACITY 1500 GAL a LEACHING AREA PERCOLATION TEST DONE ATf A DEPTH OF 52"-64" PERCOLATION RATE <7 MIN./INCH. --BOTTOM 0.74 GAL/(SF-DA) CESSP 0 S S 2-2 PERCHED WATER AT 96 ' EL=36.57 � --SIDE QQ-0 GAL/(SF-DA) RESERVE AREA EV 44.56 \ LEACHING'CAPACITY o�4 Ic L SF-DAY 4 1 GP SITE PLAN SHOWING PROPOSED p EXISTIN HOUSE & ( ) /( ) - --� '� LIMITS OF 5' REMOVAL 10.00 WATER PVIcE & - SEWAGE DISPOSAL SYSTEM UNSUITABLE MATERIAL RESERVE �7► D T D DOWN MEDIUM FINE SAND SEPTIC T BE REMOVE LEACHING AREA r WEST BA1 til� S TA1�LE LEGEND: w AS PREPARED FOR 5. 0 --R�,TTOrt! � GAL/(,F-DA) T ! II _ I . ' I T I - �QEY GAL/(SF-DAl I DE IF'TI _ N w �, _ _ _ _ 5 c- _ELCHIN C R � � IL TEST SERIES 1 / .St wF L PIT G CAPACITY ET�F' ' EDMUND COUTURE 7E c CG.L TEST 01-25-01 `� (�5'x26')xo.6a GAL/(SF-DA'r)- 442'GPD .. , 2500 A cT 1 -if V EXISTING SPOT ELEVATION 00.0 e 4 _.� ..- 5T 2-1 .ter - y' y. , t i r_ 4 -: w I ' I rl ��- � I i Cam-- - (� d ON /' 0. WITNESSED BY _��._..__...- EXISTING CONTOUR 0 �,r` In x SOIL EVALUAT'_ B. J. .YOUNG �T 1 W FINAL SPOT ELEVATION © ELEV= 44r85 40" 83°10 a � INV ' •'� � � ; ��� � 29 HAGGIS LANE I APPROX. LOCATION OF Nt,TEG SEPVIrE t FINAL CONTOUR 00 PERCOLATION RATE MIN./INCH 25.00 152,051 a p I rpa VENT SOIL TEST LOCATION ® 10.00 N - '` ,� PA UL E. S WEE TSER UTILITY POLE --Q- ' .,.�::�` PROFESSIONAL LAND SURVEYOR • _ _ > 134 15 �,,r. .: : r +, , w w :. H r , .�� s�r',•c �, 900 ROUTE # TOWN WATER OBSERVATION HOLE 1 �, . , r 2 . . � I � O r I; I I ER'V �E , C,N F'�_ -,3; ,- OUT 73 �,�,�. AT>«I,�JN„ � ,., ��-�a��'`I -�;��' `1 �` ,; SOUTH DENNIS, MA 02660-ti5 CATCH BASIN ®i ELEV.= 43.51 ELEV.= 4..27 V ELEv.= 44.85 � \\ (508) 385-6530 GAS LINE DEPTH HORIZ SOIL TEXTURE COLOP, MOTTLING OTHER DEPTH HORIZ SOIL TEXTURE COLOR MOTTLING OTHER � DEPTH HORIZ SOIL TEXTURE COLOR MOTTLING OTHER /� FAX 508) 385- 7854 0-8" A SILTY CLAY IOYR -',/4 N MASSIVE, FIRM 0-11'. A LOAM 10YR 3/4 N MASSIVE, FIRM -10" A SILTY CLAY 10YP 4 '3 N FIRE HYDRANT 8-28" Bw SILTY CLAY 10YR 4/3 0 MASSIVE, FIRM 11-26" Bw LOAM 10YR 6/4 0 MASSIVE, FIRM 0-32" Bw SILTY CLAY 10yp 6/3 0 28-93" Cl SILTY CLAY 10YR E 3 N MASSIVE, FIRM, STICKY 26-40 Cl SILTY CLAY 10YR 6/4 N MASSIVE, FIRM ,2- 12" Cl LAYERED I OYP 7,,3 N 93-129" C2 MED. SAND _ / E - 48-78" C2 MED. SAND _ E SINGLE GRAIN, LOOSE SAND, CLAY E 129-156" C3 LOAM _ - I 78-120 C3 LOAM _ VERY FIRM 2-108 'C2- FINE SANG REVISIONS- DATE 3 - 06 -200 THIS HOL NOT IN PRESENCE' )F" 204PD OF HEALTH .AGENT REPEATS IN PRESENCE OF BOARD 0 HEA TH AGENT.,AS TEST 2-1 BJY 0.5 - 1 3 - 0 1 SCALE 1 " - 2 0 ' _ � I PERCOLATION TEST DONE AT A DEPTH OF 63"-75" BJY 1 1 - 15-0 1 FILE N0. 1899 -- 6 6 NO WATER AT 156 EL.=30.51 NO WATER AT 120 EL.=37.27 NO WATER AT 120" EL.=35.85 DATE AGENT ----• - _ _.� APPROVED : BOARD F SHEET 1 0f' B_ D 0 HEALTH J F BENCHMARK: TOP OF FOUNDATION NAIL TO i I r BE SET, ELEV 51.00 6" MAX LLEVEL 2' MIN 5 4"iD SCHED 40 PERF PIPE, 1.00' MIN, 3.00' MAX 0.5� SLOPE, 5' SPACING CROSS-CONNECT I 9" MIN, 36" MAX 0.17 3" SEEDED TOPSOIL, LATERALS AND VENT 2% SLOPE 46t EXIST. 2" PEASTONE 1.25 45.65 MI ` 47.65 MA 50.50 1.17 44.50 44.65 45.00 0.25 44.33 44.75 3/4„ TO 0.83100 DOUBLE WASHEI 44.15 - I 3.52 BOTTOM LEVEL DISTRIBUTION BOX 4 1500 GALLON SEPTIC TANK DB-3 H-10 5.00 ST-1500-H-10 WATER TEST TO 25'W x26'L x6"H FIELD PROVE EQUAL FLOW 6" GRAVEL ON NATIVE SOIL OR ELEV OF MOTTLES, PERCHED WATER 38.52 MECHANICALLY COMPACTED BASE - I I SOIL TEST SERIES 2 DATE OF, SOIL TEST 05-03-01 4 , WITNESSED BY GLEN HARRINGTON SEWAGE DISPOSAL SYSTEM PRI SOIL EVALUATOR B. J. YOUNG I NOT TO SCALE OBSERVATION HOLE 2-1 ELEV.= 44.52 DEPTH HORIZ SOIL TEXTURE COLOR MOTTLING OTHER 810�4's5� E 0-9" A FINE SANDY 10YR 3/3 NONE , MASSIVE, FRIABLE LOAM , 9-24" Bw FINE SANDY 10YR 6/4 NONE MASSIVE, FRIABLE 22'15 15.5 LOAM 24-35" Cl LOAMY FINE 10YR 6/2 NONE MASSIVE, FRIABLE3g� 52 SAND GARAGE a 35-46" ` LC2STRATIFIED 10YR 6/1 NONE MASSIVE, FIRMSLAB MEb. FINE o46-120" SAND 10YR 6/8 7.5YR5/ STRATIFIED, SINGLE - 50.75 .. 51 @72" GRAIN, LOOSE ; 24889.9 SO. FT. 0,57 ACRES 'PERCOLATION TEST DONE AT A .DEPTH OF 46"-58" PERCOLATION RATE- <2 MIN./INCH. 1 PERCHED WATER AT '72" EL.=38.52 FitOBSERVATION HOLE 2-2 50 ELEV.= 44.57 FlF. 49 FL DEPTH HORIZ SOIL TEXTURE COLOR MOTTLING OTHER 52 0-10" A FINE SANDY 10YR- 4/4 NONE MASSIVE, FRIABLE 48 Sp LOAM ST 1-2 10-30" Bw FINE SANDY 10YR 6/ NONE MASSIVE, FRIABLE EL = 47, 7 TERRACE 30-96 C1 MED. FINE 10YR 5 6 NONE SINGLE GRAIN, LOOSE LOAM " I N SAND 40% STONES, COBBLES 96-120" C2 FINE SANDY NONE - o LOAM w; ''EX►STEN LE 8. 47 I PERCOLATION TEST DONE AT A _DEPTH OF 52"--64 PERCOLATION RATE <7 MIN./INCH. CESSP ❑ S S 2-2 PERCHED WATER AT 96 EL.=36.57 RESERVE AREA EV 44.56 LIMITS OF 5' REMOVAL 10.00 O y� 46 I UNSUITABLE MATERIAL LEGEND: DOWN MEDIUM FINE SAND 5. 0 DESCRIPTION SYMBOL SOIL TEST SERIES 1 T 5.5t ---- 01-2 5-01 F I _ DATE 0 SOIL TEST E)6STING SPOT ELEVATION 00.0 ST 2-1 25 00 A4 ST 1- EXISTING CONTOUR �'�00�/' WITNESSED BY DONNA MIORANDI E _ 43.51 ELEV 44:52 FINAL SPOT ELEVATION �x SOIL EVALUATOR B. J. YOUNG ST 1-3 ELEV= 44,85 83tl10`40'f FINAL (CONTOUR 00 PERCOLATION RATE MIN./INCH: 25.00 152,45' VENT' SOIL TEST LOCATION ® 10.00 I UTILITY POLE -4- TOWN 'WATER W W OBSERVATION HOLE 1 --1 OBSERVATION HOLE ,1 - 2 I CATCH BASIN t®l ELEV.= 47.27 1 ELEV.= 43,51 GAS LINE ❑ v DEPTH HORIZ SOIL TEXTURE COLOR MOTTLING OTHER DEPTH HORIZ SOIL TEXTURE COLOR MOTTLING OTHER i 0-8 A SILTY CLAY 1OYR 3/4 N MASSIVE, FIRM 0-11" A LOAM 1OYR 3/4 N MASSIVE, F FIRE HYDRANT 8-�28" Bw SILTY ,CLAY 1OYR 4/3 0 MASSIVE, FIRM 11-26" Bw LOAM 1OYR' 6/4 0 MASSIVE, F 28-93" Cl SILTY CLAY 1OYR 6/3 N MASSIVE, FIRM, STICKY 26-48" Cl SILTY CLAY 10YR 6/4 N MASSIVE, F 93-129" C2 MED. SAND _ E 48-78" C2 MED. SAND _ E SINGLE GR 129-156" C3 LOAM 78-120 C3 LOAM _ VERY FIRMA I a r NO WATER AT 156 EL.=30.51 NO WATER AT 120 EL.=37.27 I l - t � titi d���. rC �r R��• R rE 6A yo 'p9 2 9 OP rWv i LOCATION MAP ASSESSORS MAP : 217 PARCEL: 17 Ii GENERAL NOTES 1 ) ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO 310CMR15.00 THE STATE ENVIRONMENTAL CODE TITLE V: MINIMUM REQUIREMENTS FOR THE SUBSURFACE DISPOSAL OF SANITARY SEWAGE, AVAILABLE FROM STATE HOUSE BOOKSTORE 1 -617-727-2834, AND TOWN OF BARNSTABLE RULES AND REGULATIONS FOR THE SUBSURFACE DISPOSAL OF SANITARY SEWAGE. 2) CONTRACTOR SHALL VERIFY LOCATION OF EXISTING UTILITIES. CONTACT DIG—SAFE AND LOCAL WATER DEPARTMENT 3 BUSINESS DAYS BEFORE BEGINNING II CONSTRUCTION. 3) CONTRACTOR RESPONSIBLE FOR OBTAINING I ADEQUATE HORIZONTAL AND VERTICAL CONTROL. o� 4) CONTRACTOR SHALL. VERIFY ALL PLUMBING FLOWS o TO PROPOSED SEPTIC TANK, AND SHALL LOCATE ALL ;D a OTHER EXISTING SANITARY FACILITIES ON PREMISES NO 0 LONGER USED AND PUMP AND FILL OR REMOVE SAME IN ACCORDANCE WITH LOCAL REQUIREMENTS. T I 5 ALL COVERS OF SANITARY UNITS SHALL BE BROUGHT TO WITHIN '6 OF FINISHED GRADE. ALL MASONRY UNITS TO BE MORTARED IN PLACE. ALL PVC �---�• PIPE TO BE SOLVENT WELDED. I 6) UNLESS OTHERWISE SPECIFIED, EXISTING AND FINAL GRADES SHALL -REMAIN ESSENTIALLY—UNCHANGED. . 7) NO DETERMINATION HAS BEEN MADE AS TO 50.25 DRIVE COMPLIANCE WITH DEEDED OR ZONING RESTRICTIONS 5 17 AND/OR REGULATIONS. OWNER/APPLIC�=,!< n�IUST OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY: �..---- 30.5 8) EXCAVATE AND REMOVE UNS�, TA3LE 3. -.TERIAL SHED TO BE BELOW THE LEACHING INVf_"� T ELEVATION r_>? 5' s.i . RELOCATED P A WITH f Asti AROUND LEACHING SYSTEM AND RE L Ct _ __. CDSAND. 0 9) IF ANY DETAIL OF THIS PLAN IS NOT 'UNDEP ?-, .u;=, CD DESIGN CALCULATIONS CONTACT DESIGN ENGINEER AT 394-1960. vi c� NUMBER OF BEDROOMS 4 10 48 HOUR NOTICE IS REQUIRED FOR ANY o GARBAGE DISPOSAL UNIT NOT ALLOWED INSPECTION OR CERTIFICATION REQUIRED. DRIVE To B I FLOW 11 SITE LIES WITHIN FLOOD ZONE CAS SHOWN ON REMOVE DESIGN LO 4 BEDROOMS x 110 GAL/(BR—DA)=440 GPD. MAP AP 250005 0008 C DATED 07-03-86. L (MI N) )REDUIRED SEPTIC TANK CAPACITY 1 00GA - I ACTUAL SEPTIC TANK CAPACITY 1500 GA it LEACHING AREA --BOTTOM 0.74 GAL/(SF-DA) I --SIDE 0.00 GAL/(SF—DA) LEACHING CAPACITY SITE PLAN SHOWING PROPOSED O+POSED EXISTIN HOUSE & (25'x26')xO.74 GAL/(SF—DAY)= 481 GPD SEWAGE DISPOSAL SYSTEM TEM WATER T RBIE REMOVE RESERVE WEST_ BARNSTABLE� L LEACHING AREA --BOTTOM 0.68 GAL/(SF—DA) AS PREPARED FOR --SIDE 0.Q0 GAL/(SF—DA) f III LEACHING CAPACITY EDMUND COUTURE (25'x26')xO.68 GAL/(SF—DAY)= 442 GPD DaiSET WA ETER PIT UPPARD 29 MA G GIE LANE O ."'_-, Jo+N YCIUNG H APPROX. LOCA TION OF WATER SERVICE 1 Pao• P B� rE PA UL E. S WE'ETSER PROFESSIONAL LAND SURVEYOR 900 ROUTE 134 # 15 OBSERVATION HOLE 1 - 3 SOUTH DENNIS, YA 02660-25l" 3 ELEV.= 44.85 (508) 385-6530 DEPTH OT HER FAX (508) 385- 7854 H PT HORIZ SOIL TEXTURE COLOR MOTTLING 0 E E —10" A SILTY CLAY 10YR 4/3 N 0-32' Bw SILTY CLAY 10YR 6/3 O "_� a c°rr�tum 2-42„ Cl LAYERED 10YR 7/3 N SAND, CLAY E o 2-108" c2 FINE SAND _ REVISIONS- DATE 3 -06 -2001 THIS HOL NOT IN PRESENCE F BOARD OF HEALTH AGENT REPEATS IN P ESENCE OF BOARD 0 HEALTH AGENT AS TEST 2-1 BJY 05-- 13 — 01 SCALE 1 " = 2 0' lid PERCOLATION TEST DONE AT A DEPTH OF $3"-75" BJY 1 1 — 1 5—0 1 FILE NO. 18 9 9 - 0 0 NO WATER AT 120" EL:=35.85 DATE AGENT SKEET 1 OF I I APPROVED: BOARD OF HEALTH -- -JJ