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0026 MORGAN WAY - Health
26 Morgan Way West Barnstable A= 175 031 TOWN OF BARNSTABLE i .LOCATION 0 Y-0�C'A—` UJ�� SEWAGE # VILLAGE ✓ SS SSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. � SEPTIC TANK CAPACITY S�I ®' �— Ic4 I LEACHING FACILITY: (type) r� l.Ld� sf (size) NO.OF BEDROOMS aof5 P,4,6 BUILDER OR OWNER PERMITDATE: ' "� COMPLIANCE DATE: o Separation Distance Between.the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by oil- 0 6�0 �� 3� A e� 3 a e , TOWN OF BARNSTABLE LOCATION 'ate b Y—Ok O A.A Wi4-� SEWAGE # � I.3 F VII.?'AGE SS SSOR'S MAP & LOT 7 -031 INSTALLER'S NAME&PHONE NO. II SEPTIC TANK CAPACITY �I N C %& LEACHING FACILITY: (type) i_V1,1_ -:y L (size) Y- NO.OF BEDROOMS BUILDER OR OWNER PERMITDATE: COMPLIANCE DATE: elob Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist • on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) _ Feet Furnished by a P �r 3Fp -1�3 ` No. . (09 Feev THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION :TOWN OF BARN1STA LE, MASSACHUSETTS Yes ZIpprication for �Bigogal *pgtem C ction permit Application for a Permit to Construct O Repair Upgrade O Abandon O ❑ Complete System 9 Individual Components Location Address or Lot No. ZG M&(ZCOk �''fjY ie` Owner's Name,Address,and Tel.,No. Assessor's Mapiparcel Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. ` p10�� 5 'C SC�ICS, cv�A�1 CKW, `sVC`!>, ���b 53g-�-9(flcp Type of Building: Dwelling No.of Bedrooms Lot Size I-:V 5L sq.ft. Garbage Grinder (/J ,14 Other Type of Building /y©(12 No.of Persons 4 Showers(VI) Cafeteria(� Other Fixtures Lqv oa��cz:' I�� CC NEa �eNlr L s1Y Design Flow(min.required) 4-40 gpd Design flow provided -443.'3 gpd Plan Date _ ,`-0 i p 6 Number of sheets Revision Date r Title7�l�SC } Size of Septic Tank g� Type of S.A.S. (G` Description of Soil U - ka 5;?\M Nature of Repairs or Alterations(Answer when applicable) <\-,p S;i 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, gned Date ^ Application Approved beer Date Application Disapproved by: Date for the following reasons Permit No. Date Issued c 40. 11 . } . a`, No. � � Fee /40 t 't• - THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Z PUBLIC HEALTH DIVISION =• OWN•OF BARN*TALMASSACHUSETTS Yes ZIppricotion for Migogal *V.tem tion Permit -Application for a Permit to Construct( ) Repair(N' Upgrade( ) Abandon( to System Individual Components Location Address or Lot No. ?,G Owner's Name,Address,and Tel.No. a L,3 , ccr,�*0\091 R ��(Z�co �EeS�CE Assessor's MapTarcel s 3 Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. sa 'c,c Scvcs, 'SN(4y cNv, SVCs. _.. oti8 - 53�0 539-�-9(�� Type of Building: Dwelling No.of Bedrooms 4 Lot Size ` 15Z sq.ft. Garbage Grinder Other Type of Building N6r)e No.of Persons 4 Showers(1/) Cafeteria(✓) Other Fixtures I-F1v rz)-ru2.y Tc V\Et_� Si�1k t �flycv�2`1 Design Flow(min.required) 440 gpd Design flow provided 443.30 gpd Plan Date 3 0 f O(o Number of sheets Revision Date ,•,;,; Title �SeC� PC Size of Septic Tank & 5 (:)00 C, \• Type of S.A.S. (01, X `B(J Y 1' - -ZE�,1f N "ZN��L C Qca-rt;�S Description of Soil `� , •�\� Nature of Repairs or Alterations(Answer when applicable) �cLSR� Qd Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in with"t provisions Title f he Environmental ^accordance he sons of t e 5 o t E o mental Code and not to lace the system in operation until a Certificate p p y p t of Compliance has been issued b�thhis ard of Healt}.— doff signed_ Date " Application Approved by Date -- 3/ Application Disapproved by: Date for the following reasons Permit No. CCvto Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired 4) Upgraded (X) Abandoned( )by 0 C VS 5- Q SeC y�C2 at 2(,, M oV_G A rJ W ny !�:BAQN-,Tc. has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No.,Peo(2 13 dated /3 Installer 1�\02C S Spn-f-i C Designer #bedrooms Approved design flow\ J U gpd The issuance of this pe it shall not be construed as a guarantee that the system wlll�fimc:ti;�nas desig edDate - ''l _ o. Inspector _/ okj, �� —————— ———————————————————————— —— ——— 00 Fee No. At THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION—BARNSTABLE, MASSACHUSETTS Migonl *p5tem Con5truction Permit Permission is hereby granted to Construct ( ) Repair ( ) Upgrade '(✓� Abandon ( ) System located at rlw Mo f cv4 wl el 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 b comp ted within three years of the date this . Date � � 6 Approved 9/16/03 Notice: This Form Is To Be Used For the f Failed Septic Systems, Only PERCOLATION TEST AND SOIL EVALUATION EXEMP„ ON FORM I, QM v C S"qy hereby certify that the engineered plan si' ed by me dated concerning the property located at ; � l C�S�o� meets. all of the following criteria: • This failed system is connected to a residential dwelling only. There are.no commercial or business uses associated with the.dwelling. • The.soil is.classified as.CLASS I and the percolation rate is less than or equal to 5 minutes per inch. The applicant may use historical data to conclude this fact or may conduct deep test holes and percolation tests.at the site without a health agent present. • There is no increase in flow and/or change in use proposed • There are no variances requested or needed. • The bottom of the proposed leaching facility will be located no less than five feet above the maximum adjusted groundwater table elevation. [Adjust the groundwater table using the. Frimptor method when applicable] Please complete the following: A) Top of Ground Surface Elevation(using GIS information) ►�o B) G.W. Elevation 4C) +adjustment for high G.W. 43 d 5D DIFFERENCE BETWEEN A and B J SIGNED :, L DATE: ®� NOTICE Based upon the above information; a repair permit will be issued for bedrooms s maximum.. No additional bedroom are authorized in the future without engineered septic system plans. Le.red gASepric\percexemp.doc Town of Barnstable pFTHE 1pN, Regulatory Services ti Thomas F. Geiler, Director * BARNSTABLE, r 9�A a� ,0� Public Health Division rFn 39. Thomas McKean, Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer & Designer Certification Form Date: �1 f Designer: Shay Environmental Services, Inc. Installer: Address:. P.O. Box 627 Address: East Falmouth, MA 02536 �a:rncn , 1ti1 On C, a, nNc e V-!:, �"1 C _ was issued a permit to install a ( ate) (installer) septic system at a McPa+ea based on a design drawn by (addr ) Shay Environmental Services, Inc. dated 3 (designer) I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State & Local Regulations. Plan revision or certified as-built by designer to follow. ,ZNOFA4.4 CARMEN tilt E. nstall s�ature � : SHAY N No. 1181 0 Aly Sq/VITAR\Pa (De ' ner's Signature) (Affix Designer's Stamp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q:Health/Septic/Designer Certification Form I SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY ■ Complete items 1,2,and 3.Also complete A. Signatur item 4 if Restricted Delivery is desired. X ❑Agent ■ Print your name and address on the reverse ssee so that we can return the card to you. B. Received by( rioted Name) C. Date of Delivery ■ Attach this card to the back of the mailpiece, or on the front if space permits. D. Is delivery address different from item 1? ❑Yes 1. Article Addressed to: If YES,enter delivery address below: ❑No n 3. Service Type Wq 5'£ Alt S G��e mA ❑Certified Mail ❑Express Mail ❑Registered ❑ Return Receipt for Merchandise , od t' ❑ Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number 7005 ii-1 0 0000 019.1 14.0 6 (Frransfer from service label). .;.I; ,I I I :, I PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540 UNITED STATES POSTAL SERVICE � f First-Class Mail I Postage&Fees Paid USPS I Permit No.G-10 I • Sender: Please print your name, address, 6nd-ZI0+4 in this box14 • ILI PUBLIC HEALTH DIVISION TOWN OF BARNSTAB`tE---- 200 MAIN STREET `'�'�v f L ---------- HYANNIS, MASSACHUSETTS 02601 A I I I I COCA ilii'it111111l1!!ii!litilllitE£i�tE43if!!!i"illtiliEE�13£E£141Ei 0 rq IT, 1 0 F F I C I A L �^- : � E3 Postage $ .3 �� 0 O 0 Certitted Fee 4 j o �� a3c 2005 I E3 Return Receipt Fee Here (Endorsement Required) Q C3 Restricted Delivery Fee .0 (Endorsement Required) LISPS r� r-R Total Postage&Fees $ I..rl a akhri-An-n ....�.e,." . -----------•--------------- or PO Box No. ---- ------- ..........................City,State,ZIP+4 o3G v Al GJQ. Certified Mail Provides: (as�anay)ZOOZ eunp'�cgg uuo�Sd e A mailing receipt o A unique identifier for your mailpiece e A record of delivery kept by the Postal Service for two years Important Reminders: o Certified Mail may ONLY be combined with First-Class Maile or Priority Maile. a Certified Mail is not available for any class of international mail. e NO INSURANCE COVERAGE IS.PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. e For an additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a USPS®postmark on your Certified Mail receipt is required. o For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"RestrictedUelivery". . a If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT:Save this receipt and present it when making an inquiry. Internet access to delivery information is not available on mail addressed to APOs and FPOs. - - y Town of Barnstable CF THE Tp� Regulatory Services L4RNSfASLE Thomas F. Geiler, Director T! MASS. g Q 1639. �� Public Health Division ArFD MA'S a Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 March 28, 2006 Ms Mary Ann Versace 26 Morgan Way West Barnstable, MA 02668 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, Title 5 The septic system owned by you located 26 Morgan Way,West Barnstable, MA, was last inspected on March 3rd 2006,by, Brad J. White, a certified septic inspector for the State of Massachusetts. The inspection of your septic system showed that your system has "Fails" under the guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following: System is in hydraulic failure. System needs to be replaced. You have 2 years from the date of the system failure to bring the system into compliance. If there are any questions about this reminder, please feel free to contact the Barnstable Health Department. BARNSTABL�E HE TH DEPARTMENT omas . McKean, R.S., C.H.O. Agent of the Board of Health COMMONWEALTH OF MASSACHUSETTS F EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS � d DEPARTMENT OF ENVIRONMENTAL PROTECTION a M l� C JO TITLE 5 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: 26 Morgan Way n- West Barnstable,MA. 02668 Owner's Name: Mary Ann Versace Owner's Address: Same ,Date of Inspection: 03/02/2006 a F- _. i7I Name of Inspector: (please print) Brad J Whitey Company Name: Windriver Enviromental cap Mailing Address: 107 N.Main Street {'`' rn Carver,MA 02330 Telephone Number: (508)-866-2576 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 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 Needs Further Evaluation by the Local Approving Authority X Fails Inspector's Signature: -- — ' Date: 03/02/2006 The system inspector shall submit a copy o 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. Notes and Comments System is in hydraulic failure. System needs to be replaced. ****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. Title 5 Inspection Form 6/15/2000. page 1 r _ Page 2 of 11 K OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 26 Morgan Way West Barnstable,MA. 02668 Owner: Mary Ann Versace Date of Inspection: 03/02/2006 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. Answer yes,no or not determined(Y,N,ND)in the 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. ND explain: Observation of sewage backup or breakout 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 obstruction is removed distribution box is leveled or replaced ND explain: 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 obstruction is removed ND explain: Tit]. s r-A,.*;,,,, 17 -,.,All 1;11nnn 2 Page 3of11 .� OFFICIAL INSPECTION FORM- NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 26 Morgan Way West Barnstable,MA. 02668 Owner: Mary Ann Versace Date of Inspections 03/02/2006 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 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 private water supply well".Method used to determine distance "This system passes if the well water analysis,performed at a DEP certified laboratory,for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form. 3. Other: T;f. Tncr a 4;nn F,.r,,,All;nnnn 3 Page 4of11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 26 Morgan Way West Barnstable,MA. 02668 Owner: Mary Ann Versace Date of Inspection: 03/02/2006 D. System Failure Criteria applicable to all systems: You must indicate"yes"or"no"to each of the following for all inspections: Yes No _X_ Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool _X_ Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool _X_ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool _X_ _ Liquid depth in cesspool is less than 6"below invert or available volume is less than %a day flow _X_ Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped _X_ Any portion of the SAS,cesspool or privy is below high ground water elevation. _X— Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. _X_ Any portion of a cesspool or privy is within a Zone 1 of a public well. _X_ Any portion of a cesspool or privy is within 50 feet of a private water supply well. _X_ 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 coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form.] _Yes_(Yes/No)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. You must indicate either"yes"or"no"to each of the following: (The following criteria apply to large systems in addition to the criteria above) 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. T41. c T„ .,.f;--n,.,-..,411 ri')nnn 4 -Page 5 of.r 1 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 26 Morgan Way West Barnstable,MA. 02668 Owner: Mary Ann Versace Date of Inspection: 03/02/2006 Check if the following have been done.You must indicate"yes"or"no"as to each of the following: Yes No _X_ _ Pumping information was provided by the owner,occupant, or Board of Health _X_ Were any of the system components pumped out in the previous two weeks ? _X_ _ Has the system received normal flows in the previous two week period _X_ Have large volumes of water been introduced to the system recently or as part of this inspection? _X_ _ Were as built plans of the system obtained and examined?(If they were not available note as N/A) _X _ Was the facility or dwelling inspected for signs of sewage back up'? _X_ _ Was the site inspected for signs of break out 9 _X_ _ Were all system components, excluding the SAS,located on site'? _X_ _ 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? _X _ 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: Yes no _X_ _ Existing information.For example, a plan at the Board of Health. _X_ _ 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(3)(b)] T41. 1� Tnc.n 4;nn T,--.,,All cnnnn 5 r *Page 6 of rl OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 26 Morgan Way West Barnstable,MA. 02668 Owner: Mary Ann Versace Date of Inspection: 03/02/2006 FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design): Number of bedrooms(actual):3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms):330gpd Number of current residents: 3 Does residence have a garbage grinder(yes or no):NO Is laundry on a separate sewage system(yes or no):NO [if yes separate inspection required] Laundry system inspected(yes or no):NO Seasonal use: (yes or no):No Water meter readings,if available(last 2 years usage(gpd)): 193.15gpd(71,000 - 70,000) Sump pump(yes or no):NO Last date of occupancy: Current COMMERCIAL/INDUSTRIAL Type of establishment: Design flow(based on 310 CMR 15.203): gpd Basis of design flow(seats/persons/sgft,etc.): Grease trap present(yes or no):_ Industrial waste holding tank present(yes or no):_ Non-sanitary waste discharged to the Title 5 system(yes or no): Water meter readings,if available: Last date of occupancy/use: OTHER(describe): GENERAL INFORMATION Pumping Records Source of information: Pumped May 3,2005 our records Was system pumped as part of the inspection(yes or no):NO If yes,volume pumped: gallons--How was quantity pumped determined? Reason for pumping: TYPE OF SYSTEM _X_Septic tank, distribution box,soil absorption system Single cesspool Overflow cesspool _Privy No 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) Tight tank _Attach a copy of the DEP approval _Other(describe): Approximate age of all components,date installed(if known)and source of information: System was installed in 1993-1994 per as built plan of system. Were sewage odors detected when arriving at the site(yes or no): NO T41. �; rncr+—fi—F,,.,,All rilnnn 6 •Page 7 of I 1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 26 Morgan Way West Barnstable,MA. 02668 Owner: Mary Ann Versace Date of Inspection: 03/02/2006 BUILDING SEWER(locate on site plan) Depth below grade: 55" Materials of construction:_cast iron X 40 PVC_other(explain): Distance from private water supply well or suction line: N/A Comments(on condition of joints,venting,evidence of leakage, etc.):Building sewer is in good condition. SEPTIC TANK: X (locate on site plan)Inlet has riser 12"below grade) Depth below grade:40" Material of construction: X concrete_metal_fiberglass_polyethylene —other(explain) If tank is metal list age:_ Is age confirmed by a Certificate of Compliance(yes or no):_(attach a copy of certificate) Dimensions: 8' x 5'-8" x 5'-2"(1,000) Sludge depth: 2" Distance from top of sludge to bottom of outlet tee or baffle: 31" Scum thickness: 1 '/2" Distance from top of scum to top of outlet tee or baffle: 12" Distance from bottom of scum to bottom of outlet tee or baffle: 18" How were dimensions determined:Measured Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity,liquid levels as related to outlet invert,evidence of leakage,etc.): tees in good condition.Tank is structurally sound.No evidence of leakage in or out. GREASE TRAP:_(locate on site plan) Depth below grade:_ Material of construction:_concrete_metal_fiberglass_polyethylene_other (explain): Dimensions: Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: Date of last pumping: Comments(on pumping recommendations, inlet and outlet tee or baffle condition,structural integrity,liquid levels as related to outlet invert,evidence of leakage,etc.): T;fl. G T„ .,f;--Un A/1 7 Page 8 of 11 - OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 26 Morgan Way West Barnstable,MA.02668 Owner: Mary Ann Versace Date of Inspection: 03/02/2006 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/day Alarm present(yes or no): Alarm level: Alarm in working order(yes or no): Date of last pumping: Comments(condition of alarm and float switches,etc.): DISTRIBUTION BOX: X (if present must be opened)(locate on site plan)(49"below grade) 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.):Distribution box is level and distributing evenly.No evidence of solids carryover.No evidence of leakage in or out of the box. 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 appurtenances,etc.): T41. 411'�iMnn 8 . Page 9 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 26 Morgan Way West Barnstable,MA. 02668 Owner: Mary Ann Versace Date of Inspection: 03/02/2006 SOIL ABSORPTION SYSTEM(SAS): X (locate on site plan,excavation not required) If SAS not located explain why: Type _X—leaching pits,number: 1 @ 6' x 6' Pit is 7' below grade(Pit is overfull)Riser 12"below grade leaching chambers,number: Pipe enters pit in riser..therefore no evidence of backup leaching galleries,number: in distribution box. 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.): Soil is saturated.System is in hydraulic failure.Vegetation is grass. CESSPOOLS:_(cesspool must be pumped as part of inspection)(locate on site plan) Number and configuration: Depih—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 or no): Comments(note condition of soil, signs of hydraulic failure,level of ponding,condition of vegetation,etc.): PRIVY: (locate on site plan) Materials of construction: Dimensions: Depth of solids: Comments(note condition of soil,signs of hydraulic failure,level of ponding, condition of vegetation, etc.): TiflA G T--fi-17-All 9 : ► Page.-10 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 26 Morgan Way West Barnstable,MA. 02668 Owner: Mary Ann Versace Date of Inspection: 03/02/2066 SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch 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. 28 3'1 r r Page 11 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 26 Morgan Way West Barnstable,MA. 02668 Owner: Mary Ann Versace Date of Inspection: 03/02/2006 SITE EXAM Slope Surface water Check cellar Shallow wells Estimated depth to ground water 8'+ feet Please indicate(check)all methods used to determine the high ground water elevation: Obtained from system design plans on record-If checked,date of design plan reviewed: _X_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:No indication of groundwater at 8'. Per local topography.There is a slope in the topography in the neighboring properties. A Title V inspection is often misunderstood to suggest that we are conducting a complete inspection of your system. A Title V inspection is limited to determining if, at the time of the inspection,the existing septic system is functioning. The State of Massachusetts has outlined specific tests that are to be performed,which will be completed during your Title V inspection. However,a Title V inspection,and the inspection that Wind River Environmental is performing hereunder,does not evaluate if the system was installed correctly,has been engineered in accordance with state and local regulations, or whether the system will continue to function in the future. It also does not evaluate whether the system would meet the past,current,or future Board of Health or State DEP regulations. A system can pass Title V but still not meet state or local requirements or be suitable for continued use. If the customer would like a . complete inspection of their system,including an evaluation as to the design and suitability of your system,Wind River Environmental can provide a quote as to the cost of such services. As well,Wind River Environmental strongly recommends _ 'persons interested in buying a home to have a full and complete system evaluation I before purchasing a new home. A new home buyer should not rely on a Title V inspection in determining if the system will function in the future,and instead should commission a complete system inspection. T41. S T 1;-n Vn Ail';MAAA 11 G ._ y �✓ TOWN OF BARNSTABLE All LOCATIONLv r /lo,S .�i1r�G�.t.> /.�1��/ SEWAGE # 94- 45 ) VILLAGE k/; ASSESSOR'S MAP & LOTj7-5r-0.�Z INSTALLER'S NAME & PHONE NO. J ) Del*-4! .L e So,J -77/-M46 SEPTIC TANK CAPACITY Z Boo lr.4L LEACHING FACILITY:(type) G EF P l T (size)i000 G, NO. OF BEDROOMS PRIVATE WELL O �PUBLIc` WATER BUILDER OR OWNER Co G DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: '" VARIANCE GRANTED: Yes No l Z8®„ too Tj30 41 5 1 . D.� No. _...... F:cs....A....................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliratiun for Diri.puuttl World, Cfunutrnrttun Prrmit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at ....--a.�....................... ��..--•-.lam 16 5- .......................... --16 s-------G.1.........- -------- .....------ . ....... �Lo do A( r•ss Lot No. W Owl �'-7n+ Address _ ,-� ....... ... .....�/ ..... •-----------••---•-------•............ ........ . ..................... ._. .................... ......- Installer Address 3 9/9-(—.S feet d Type of Building Size Lot........................... q. U Dwelling—No. of Bedroom� __.�...y__.�_.._. __-__I Expansion Attic (tt/� Garbage Grinder ( ) p., Type g� ✓�� 7� No. of persons---------------------------- Showers Cafeteria ( )Other—T e of Buildiu a W Design Flow...Other �res - `� gallons per person per day. Total daily flow......., ... ..........................gallons. C4 Septic Tank—Liquid capacity.j0-gallons Length................ Width-_----_- -_-_- Diameter................ Depth.............. .. � - Disposal Trench--No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft� Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) n /�/7 j9 r7 '~ Percolation Test Results Performed b...... +H'�l�Q ............................. Date.-_...__._.......6......._..._.._._... Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water.�S�y _.. 44 Test Pit No. 2................minutes per inch- Depth of Test Pit.................... Depth to ground water........................ P4 .................. --- ---••-•.........................•-••--•----•--.-----._.....-'----............---•-••---•----•--••--------*.............. 0 Description of Soil....'aA-_14121.... --------------0------------------------------------------------------------------------------------00................. U _.........-•---------•-••-------------•-...---------------------------------------...----•----------------- W •. --_--------------------•Nature of Repairs or Alterations—Answer when applicable..................._...._...__........... .....-....... .....__....••.•. •----•--•-••-•-------•------•--•-------------------------------------------------------------•-•-••----•--------------------------------------••-------------------------------------•-------•--"...... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Envir m al Code —Tnder ' tied further agrees not to place the system in operation until a Certificate of Co lia " e as issu d hard of health. s Signed ..... t Application Approved By ...c... --- -----'��--------- ... .................................... ... `.... .. ... . ........ .. � Application Disapproved for the following rea s: ........................................................................................................ ..................... ............................................... ---- ---------------------------..----.....------------------ Date Permit No. ................ ...............I.......................... Issued ....... No. - FEB THE COMMONWEALTH OF MASSACHUSETTS I , ' BOARD OF HEALTH � TOWN OF BARNSTABLE Appliratiun for Di ipwml Wi urk,i Tunitrurtiun Errant Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System fit. � 9G!t�... /.�. ___ ......._�� a -- r �6 5 G� �Locatio - 1ddrrss - Lot No. /I � I----- ---•-•- ----��-�--------- �/!'��!= o.�....................................................7- (� Owner Address ------------------•----......-•---•----•---••---------•----••------....•-•--....._. J Installer Address U Type of Building Size Lot...°.3.�./��..Sq. feet �., Dwelling— No. of Bedrooms.----------______________________________._Expansion Attic (,cJ,}) Garbage Grinder ( ) a`4 Other—Type of Buildin __ / ... yp 1�___. ��.�!�. No. of persons____________________________ Showers ( ) — Cafeteria ( ) dOther fixtures .. ��G----------------------------------------- -----------------•---------------- ..........--------- W Design Flow................yid........./LQ........gallons per person per day. Total daily flow.....-._�W..........................gallons. WSeptic Tank—Liquid capacity 1.. galIons Length---------------- Width................ Diameter--- ............ Depth................ x Disposal Trench--No. .................... Width.................... Total Length.................... Total leaching area----................sq. ft. 3 Seepage Pit No--------------------- Diameter-------------------- Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( a Percolation Test Results Performed by..... .............................. Date.... �( 7` ------------- Test Pit No. 1----------------minutes per inch Depth of Test Pit.................... Depth to ground water N N�.... 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ P .-•-•-------------•--•-----------•-----•---------•-----•---------•-----------••-•-•----•--................----•-••--•----.....-•--------•-•----------...-- 0 Description of Soil--- ------------------•. x .........-•-•••..................•• r l `_ W ------------------------------------------------------------------------------------------••......••---•-----•••-------------•-------••-•---•--------•-•---...........-•---•---------........•----...... 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 TITLE 5 of the State Enviro.tlrmrital Code—T Q-under fined further agrees not to place the system in operation until a Certificate of Compliance ,as lssuifdb t 6 bojard of health. Signed �..-1 .....v � /1... ................ ��. r......�---..... y ..................................... (77Application Approved B 'i `.:...� ° - r .... 1...:................. ......... Application Disapproved for the following rea o J: . ................................. . ............................... .. ....................... ................................................................................. ............................................................................._....... ....... Permit No. ................ ........ /......................... Issued ...............`�... .......... Date...... �ate THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE (11er#ifirate of Compliance THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ✓ ) or Repaired ( ) by ....... ... .r: .� ...- ..,. Installer at . 4!7(0-�.......1./�.5 ...._,!� 1 �� �t/......W. Y/.... 1 ...... ...................................................................................... has been installed in accordance with the provisions of TITLE of The ate Environmental Code as described in the application for Disposal Works Construction Permit No. ...... dated -------...._..._.... .................... pp P E CONSTRUED A GUARANTEE THAT THE THE ISSUANCE OF THIS CERTIFICATE SHALL NOT CO U S GU SYSTEM WILL FUNCTION SATISFACTORY. DATE---- - '.l.-...' - ...:............ ......._...._._.... Inspect r-'=.... ...:....... �L-.-..- % ..:................ —F THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE No----------------•-•--•-;- FEE._ ....._..•........... Disposal— W orkii Tonotr�tion rrutit Permission is hereby granted..._..�TT_..... .(2 f_SC lJL �. to Construct ( V or Repair ( ) an Individual Sewage Disposal System i " at No a•------...4 R.6 /J?4` .. l L�._..�.L`1.e it/.---- OF street . _ !. /. .......as shown on the application for Disposal VVorls Construction Permit Nor_ ____ Dated..-_�/. .,r � __.__.... DATE. •��` ................. Board of Health l ------. .-•- �....... FORM 36508 HOBBS&WARREN.INC..PUBLISHERS 51146UE_R�f�tll-`(.. 3 BEC�MS I_ • 1 vA L f F'c pW- 3x uo=33o GPD \\ `� 'fz \ -{ i a 13 a� �U 1 i5 ?�0 i s ` 7 d EYfI ra +�.� 3 0 0 r U IDaC+A1. I i �d T- 1-6000ay/3 smN :5I DCWA L '-APEA - 132 SF L # 137. 5t= Al. 2,S = .33D Gpt7 ; i !o do fi.._. - 1 BOTTOM A A = 15 sr- q8 13l.PD. iN. t77 ; a r _ 'PEkaC.ATi ON RATE i►J 2M14kr-'SS I 1 ` I`+ r i_ IN k�- -,. �.: 17 .l� i ..7t l._Q OF • i P , wry - No. 2s733 S�oNAL E oeGA►� s gyp$ t j 1 1 4 � � CoAyt a P G71 DIS IN✓ 1 -j_•I -r T �, GAL' , 3 >? w LoOD , 982 I q R. irlC 8, V T C. N -f. �•o Q - a r t MC Saari " -41 WP'T SfsxlSb: 1I oK T 7- LL kG: A SCRuGTuQE3• Sr.T Wa7N�,. sToNE Mo¢E TuA�4 a' vr;l 54ALL "BE 14 Zo '�. I . -. _..._ .. 10& - " ENE /2 i --i-;-r-, i_ _, .. ,..�S -�- ,, - •- 3' G+ vea. IEIo? 7. ►? 'PwFI Lam-- , wls►�r o. cyG LOC. Tlot.l : r ;A _Wary _.• K _ osco �+? fzq PLAN �10E' 1 :. :C EYCI fif T44 dT Tt{S 496w14 WITµ -ME 'DEUtJ� - l-�urJ T P.�Q,: of TR(c— TDWN OF. Bd 'STa i AitD,_15_.. _. l-OGA W tJ lrLaov ;pLG-' L�-39 rPL <<o _._ _. . . '( 'A -tali 'ill -Q1t.1, C4 -w r . . _. . -d , p2OF4%i J L"-LAUD 50 -VL`/orzS 'TFIK' ��A N IS Nor ;�A�E oN AN t�JS'TPoME r r5u2�/t AA V TqF_ OFFSETS 4�4flut� Jut' L �GI N EEtC.S , usc�� To c-STa e sN , �f / l.t NL5 ��A+15ib� ?U1L.A►1.1(,,��IJC, , *NOTE.- ALL PIPES ARE TO BE 4" SCHEDULE 40 P.V.C. I [house10' min. from VENT PIPE (0 Least 24 Inches tall) SECTION AA Au ouTLET Proms FRaM llE Schedule PVC w/Charcoal Odor FiltxExisting Foundation to septic tank DISIRBUTIM BOX SHALL BE `.- TOP OF FOUNDATION = ELEV. 107.75 Assumed s� tank � must be D-BOX cover must be PROFILE VIEW OF EDITION TO LEACHING SYSTEM SET LEVEL MR AT LEAST 2 FT t2• Hx>ricRE1E COMM � +� i within 6 in. of fhrM»d grade within B in. of finished grads ;•r.. a tvII dodo over Saptk Tank-99.50 dodo ow D-Box- 96.00 over SAS-96A0 3" of 1/8' -1/2' washed Peaston 13eNoe OU7UET �� --8ne�" { /4' to 1 1 TS /2 °washed Crushed Stan �� rr.�ev or �. • SS' OUTLET + ' 12' IN ET GJ� ram, S 0 3 HOLE H-10 4•PVC(CAPPED)915PEC710t1 PORT TO BEs �q Top OF System-Elan -92 75 a 4,�° L p.n 0 xKMl~ T. BOX 3' Madrmen Cover INSTALLED AND ro BE M7FHfH s•OF GRADE ul _ B' a eE e,7r, 10' EXIST. S-0.01 or Greoter a ExlsT. PIPE 1,000 GAL �. S. o.ot•Per f ' tas• , FRM EXIST.FOUHDATIRI a ^ SEPTIC TANK O 0'EMeetM Depth t.75• 9,rceoro" 1 at N 0 s PLAN SECTION CROSS-SECTION �Z CONCRETE FULL n�xxta►Taft-� i p H-10 N a s - sNa1«ILA `�` i k tV or (10 i ches) - • o o 12s' a•75 12s ' 3 HOLE H-10 DISTRIBUTION BOX �►A'� `�~s SYSTEM PROFILE 6 In.of 3/4--1 1/2• -4 II i �,; - 43.751 - comrpact.d atone Not to Scale c o • • � --�0' NOT TO SCALE its"' o ,� 5' 1 I Effective Length w I1a�1kNrlyiCaresryM29MN ` V` , 61n.of3/4•-1C1/Y o 10' oi,� ` SOIL ABSORPTION SYSTEM (SAS) GENERAL NOTES COm'pOCLed 'tO1° 9 EH Pecttve ' 0 INFILTATROR HIGF•CAPACITY (H-20 LOADING)/ GEORGE O'BRIEN NOTE: ALL COMPONENTS MUST HAVE RISERS TO WITHIN 6" BELOW GRADE � 1. Contractor is responsible for Digsofe notification, Verification of Utilities o In (OR EQUIVALENT) Not to Scale and protection of all underground utilities and pipes. I? Bottom of Test Hale 1 Gov.- 4.00 O TP1 2. The septic tank an j distribution box shall be set un Grodwater Observed- NONE OBSERVED NOTE: OVERALL HEIGHT OF INFILTRATOR IS 18" /EFFECTIVE HEIGHT IS 10" level on 6" of 3/4 -1 1/2" stone. 3. Backfill should be clean sand or gravel with no stones over 3" in size. PERCOLATION TEST 4. This system is subject to inspection during installation 9Z 116.12' by Carmen E. Shay - Environmental Services, Inc. 5. The contractor shall install this system in accordance Date Percolation Test: December 7, with Title V of the Massachusetts state code, the approved plan Test Performed By. PETER SULLIVAN - Baxter & Nye ���� and Local Regulations. Results Witnessed By Barnstable B.O.H. Percolation Rate: Less Than 2 MPI 048" LOT 165 6. If, during installation the contractor encounters any �� soil conditions or site conditions that are different 17,152 Square Feet-t/ _ _92 from those shown on the soil log or in our design Test Hole `9sr _______-__4 - installation must halt dt immediate notification be Test 1 Test Hole made to Carmen E. Shay - Environmental Services, Inc. No. 2 ® TEST HOLE #1 7. No vehicle or heavy machinery shall drive over the DEPTH SOILS ELEV. DEPTH SOILS ELEV, �� ELtVV.= 93.00 septic system unless noted as H-20 septic components. D 98.00 0 93.00 O 8. Install Tuf-rite gas baffles or equals on all outlet tee ends. Sandy Loom Sandy Loam C � 9. All Distribution Lines shall be 4" diameter Schedule 40 NSF PVC pipes. -SLAY GROUND/PLAY AREA ---- -94 10. All solid piping, tees do fittings shall be 4" diameter O"-9" As 97.25 D•_g• Ae 92.25 SHED --------- ----_- Schedule 40 NSF PVC pipes with water tight joints. Loamy and `����� 4" PVC 11. Municipal Water is Connected to ALL OF The Residence and Abutting Vent Properties Within 150 Feet. 9'- 44' Be s4.33 9 a, 89.33 0' \\ �`� .-•, :£=+`ram_,:f ''sou%. - v.•- THE PROPERTY LINES ARE APPROXIMATE AND Fine Sand Fine Sand ,_ v� • • • • • • . • 1 ___96 COMPILED FROM THE SURVEY PLAN GENERATED BY w/ es/Boul w/ bl see/9ou1 e _A, �, L`a,,F+ - BAXTER NYE of OSTERVILLE, MA 9� =•'e"•- dt ENTITLED "CERTIFIED PLOT PLAN OF LOT 165 MORGAN WAY, W. BARNSTABLE 44'- toe ---EST HOLE #1 I- '0' P4' DATED AUGUST 22, 1994 C, "- 108 G AND IS NOT INTENDED TO BE A SURVEY PLOT PLAN Fine Sand Fine Sand EL�V, 98.00 IT SHOULD BE USED FOR NO PURPOSE OTHER THAN Gravel ac Gravel d• s �° LOT #164 THE SEPTIC SYSTEM INSTALLATION. 08'- 160 ' 1 79.00 \ 98 EXISTING LEACH PIT TO BE PUMPED OUT AND REMOVED. -- ------- ------ -- LOT #1660 `----- -- D-Box NOTE: ANY STRIPPED OUT SOIL CONTAINING LEACHATE PROJECT BENCH MARK FROM THE EXISTING LEACH PIT TO BE DISPOSED �w Failed r_ -I EXIST. 1,000 GAL OF AS PER BOARD OF HEALTH SPECIFICATIONS. - - I I TOP OF BASEMENT FLOOR SLAB - Leach Pit _ ____�____� _.-- • I i SEPTIC TANK Perc 1 �� � I I ELEV. = 100.00 (Assumed THERE ARE NO WETLANDS ARE PRESENT WITHIN 200' OF THE PROPERTY Depth to Perc: 48" to 66" �� L-�-� Y O ' Perc Rate= 2 MPI �� m P ASSESSORS MAP 175 PARCEL 031 Groundwater Not Observed ° Porch O � \� OQ LEGEND No Observed ESHWT \ ADJUSTED H2O Elev. = None WALK OUT BASEMENT #26 F1_04__X_11 DENOTES PROPOSED 2-le• IMAM. ACCESS MANHOLES EXISTING EXISTING �. SPOT GRADE 4Ro soar GARAGE 104.46 DENOTES EXISTING = . _•:- _ ._ _.... x SPOT GRADE NO PL PROPERTY LINE M - L_ 96 .. PROPOSED CONTOUR an ET0 20 40 50 THE ACCESS COVERS FOR THE SEPTIC TANK °�� I - - - ---97 EXISTING CONTOUR DISTRIBUTION BOX AM LEACHING COMPONENT �� _ •�..• -->-s•"•:i->r-. T-tr•+:�..,��t SET DEEPER THAN 6 MCtHES BELOW nMS7HED . d EXIST. GRADE SHALL BE RAISED TO WITHIN 6' OF ` DRIVEWAY I 06 STEEL REINFORCED PRECAST CONCRETE FINISHED GRADE: �, � --_- __I _`_ `` ' " DEEP TEST HOLE & PLAN VIEW INSTALL TL1F-TI7E GAS BAFFLES OR EgllAls °__ ----__ _ __ SCALE: 1 =20 PERCOLATION TEST LOCATION 3-24'REMOVABLE COVERS -'----- -__�T`_```` `` 6 FOOT STOCKADE FENCE min. d B• �rtEr min. 2• min,. inlet to ou6.t. r mti ,,r NaET _ _ ! 79.00' ` to'mIn uqu�Tia�� OU7L1ET 5' -7' ;-; T P LOT P LAN :f b �� �a�«, _ - i- --�z �' OF PROPOSED SEPTIC SYSTEM UPGRADE ~� w. M0 CA1V W-A T" PREPARED FOR W-cr4'--,a- -:y (40 FOOT RIGHT-OF WAY) MR. ENRICO VERSACE CROSS SECTION END-SECTION AT TYPICAL 1000 GALLON SEPTIC TANK #26 MORGAN WAY WEST BARNSTABLE, MA NOT TO SCALE Bedroom Bat Kitchen Design Calculations Bath /Dining F� EXISTING ��� SSA PREPARED BY: Number of Bedrooms: 4 Equivalent to 440 Gol./Day EXISTING GARAGE • >� Garbage Grinder- No Bedroom Bedroom GARAGE Bedroom L CARM�'N E. ,SH�1 Y Leaching Capacity Proposed: 440 Gal./Day Septic Tank : - 2 x 440 Gal./Day = 880 USE EXIST. 1,000 GAL Septic Tank. Living Room i ENVIRONMENTAL SERVICES, INC. SOIL ABSORPTION AREA: Using percolation rate of Q min./inch ------ --"--- Bottom Area: 0.74 gal/sq. ft. x 500 sq. ft. = 370 gallons P.O. BOX 627 Sidewall Area: 0.74 gal./sq. ft. x 99.6 sq. ft. = 73.7 gallons <= -S s� y EAST FALMOUTH, MA 02536 Providing: = 443.70 gallons t-�Tn gN1TAR�P 3, , 4 BE HOUSE 7,42 FLOOR SCHEMATIC 4 BE HOUSE 15'r FLOOR SCHEMATIC TEL/FAX 508-539-7966 Use: (7) INFILTRATOR HIGH CAPACITY H-20 UNITS, HAVING A 0.83' (10 INCHES) EFFECTIVE DEPTH, SCALE: 1"=20' DRAWN BY: CES DATE: MARCH 30, 2006 TO BE USED WITH 3.5' OF WASHED STONE ON THE SIDES, AND 1' OF WASHED STONE ON THE ENDS. NO STONE UNDER. PROJECT#SD887 FILENAME: SD887PP.DWG SHEET 1 OF 1 - ----