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Home My WebLink About0259 PERCIVAL DRIVE - Health 259 Percival Drive West Barnstable / A= 111-063 Commonwealth of Massachusetts Title 5 official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments s 259 Percival Drive Property Address Craig G. Larson Owner Owner's Name information is required for West Barnstable MA 2/3/2012 every 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. 'mp°'ta"`=When filling out A. General Information forms on the computer,use 1. Inspector: only the tab key to move your Jill Cafarelli cursor-do not Name of Inspector use the return key. Civil Engineering Associates Company Name . ; P.O. Box 916 s Company Address South Dennis MA 02660 , Citylrown State Zip Codd'-n: n ^' 413-246-9804 4405 Telephone Number License Number s: r-- rn 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 16.340 of Title 5(310 CMR 15.000).The system: ® Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority Inspector's Sign re re Date The syste Inspector shall submit a copy of this Inspection report to the Approving Authority(Board of Heal 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. v t5ins.11/10 Title 5 Official Inspection Form:Subsurface S e Disposal System•Page 1 Ncyf 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 259 Percival Drive Property Address Craig G. Larson Owner Owner's Name information is required for West Barnstable MA 2/3/2012 every page. Citylrown 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): t5ins-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 2 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 259 Percival Drive Property Address Craig G. Larson Owner Owner's Name information is required for West Barnstable MA 2/3/2012 every page. Cityfrown State Zip Code Date of Inspection B. Certification (cont.) 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•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 259 Percival Drive Property Address Craig G. Larson Owner Owner's Name information is required for West Barnstable MA 2/3/2012 every page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health(and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well**. Method used to determine distance: **This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate"Yes"or"No"to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ❑ Liquid depth in cesspool is less than 6" below invert or available volume is less. than Y2 day flow t5ins•11/10 Tide 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M 259 Percival Drive Property Address Craig G. Larson Owner Owner's Name information is required for West Barnstable MA 2/3/2012 every 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. El ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis,performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303,therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes"or"no"to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area—IWPA)or a mapped Zone II of a public water supply well If you have answered"yes"to any question in Section E the system is considered a significant threat, or answered"yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 259 Percival Drive Property Address Craig G. Larson Owner Owner's Name information is required for West Barnstable MA 2/3/2012 every 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): 5 Number of bedrooms(actual): 3 DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): 550 t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M 5. 259 Percival Drive Property Address Craig G. Larson Owner Owner's Name information is West Barnstable MA 2/3/2012 required for every page. Citylrown State Zip Code Date of Inspection D. System Information Description: 1500 gallon septic tank with a d-box and 2 leaching pits Number of current residents: none Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system?[if yes separate inspection required] ❑ Yes ® No Laundry system inspected? ❑ Yes ❑ No Seasonal use? ❑ Yes ® No Water meter readings, if available(last 2 years usage (gpd)): Detail: Sump pump? ❑ Yes ® No Last date of occupancy: Date Commerciallindustrial 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•11/10 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 5 259 Percival Drive Property Address Craig G. Larson Owner Owner's Name information is required f or West Barnstable MA 2/3/2012 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Source of information: Was system pumped as part of the inspection? ❑ Yes ❑ No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner)and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank.Attach a copy of the DEP approval. ❑ Other(describe): t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 259 Percival Drive Property Address Craig G. Larson Owner Owner's Name information is required for West Barnstable MA 2/3/2012 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known)and source of information: Were sewage odors detected when arriving at the site? ❑ Yes ❑ No Building Sewer(locate on site plan): Depth below grade: 1'feet Material of construction: ❑cast iron ®40 PVC ❑other(explain): Distance from private water supply well or suction line: feet Comments(on condition of joints, venting, evidence of leakage, etc.): Septic Tank(locate on site plan): 1' Depth below grade: feet Material of construction: ®concrete ❑ metal ❑fiberglass ❑ polyethylene ❑other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance?(attach a copy of certificate) ❑ Yes ❑ No Dimensions: 10x5x5 Sludge depth: 3" t5ins-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 9 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 259 Percival Drive Property Address Craig G. Larson Owner Owners Name information is required for West Barnstable MA 2/3/2012 every 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 33" Scum thickness 12" Distance from top of scum to top of outlet tee or baffle 4" Distance from bottom of scum to bottom of outlet tee or baffle 2" 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.): Pumping recommended. 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-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 10 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 259 Percival Drive Property Address Craig G. Larson Owner Owner's Name information is required for West Barnstable MA 2/3/2012 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑concrete ❑metal ❑fiberglass ❑ polyethylene ❑other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments(condition of alarm and float switches, etc.): Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No t5ins•11110 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 259 Percival Drive Property Address Craig G. Larson Owner Owner's Name information is required for West Barnstable MA 2/3/2012 every 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 none 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.): Box looks good ...Levels are good. 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.): Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: t5ins-11/10 Title 5 Official Inspection Fonn:Subsurface Sewage Disposal System-Page 12 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M 259 Percival Drive Property Address Craig G. Larson Owner Owner's Name information is required for West Barnstable MA 2/3/2012 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Type: ® leaching pits number: 2 ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: Comments(note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): 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•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 i Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 259 Percival Drive Property Address Craig G. Larson Owner Owner's Name information is required for west Barnstable MA 2/3/2012 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy(locate on site plan): Materials of construction: Dimensions Depth of solids Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 259 Percival Drive Property Address Craig G. Larson Owner Owner's Name information is West Barnstable MA required for 2/3/2012 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System_ Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ® hand-sketch in the area below ❑ drawing attached separately I O D �60 5Ak- J � o t5ins-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Farm Subsurface Sewage Disposal System Form-Not for Voluntary Assessments .. 259 Percival Drive Property Address Craig G. Larson Owner Owner's Name information is required for West Barnstable MA 2/3/2012 every page. Cityfrown State Zip Code Date of Inspection D. System Information(coat.) Site Exam: ® Check Slope ❑ Surface water ® Check cellar ❑ Shallow wells Estimated depth to high ground water: >10' feet Please indicate all methods used to determine the high ground water elevation: Obtained from system design plans on record a, If checked,date of design plan reviewed: -�_----- t Date ❑ Observed site(abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Hoard 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: Yard slopes down to road >10'. Before filing this Inspection Reports please see Report.Completeness Checklist on next page. t5ins•11110 Tate 5 Offraal Inspection Forth:Subsurface Sewape Disposal System•Page 16 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 259 Percival Drive Property Address Craig G. Larson Owner Owner's Name information is required for West Barnstable MA 2/3/2012 every page. Cityfrown state Zip Code Date of Inspection E. Report Completeness Checklist [1Ylnspection Summary:A, B, C, D, or E checked [ Inspection Summary D(System Failure Criteria Applicable to AEI Systems)completed System Information—Estimated depth to high groundwater [v Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins-11/10 Title 5 Official Inspection Form Subsurface Sewage Disposal System-Page 17 of 17 �.�� '��-�'ICOF�AI�N5`�ABLE q� (i � �� ✓ LOCATION L/dl"J7 0141ey%lwl/ SEWAGE# VILLAGE Ly��g�� `p/ Q —ASSESSOR'S MAP&LOT INSTALLER'S NAME&PHONE NO. O/��/ ��1 SEPTIC TANK CAPACITY 15 LEACHING FACILITY: (type) U �aa �� S (size) /0 NO.OF BEDROOMS 5 \ BUILDER OR OWNER PERMITDATE: 5,%OMPLIANCE DATE: —�L 26 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� 7 j 1 � ;I i �r / CVO , t7� D L.� i c � : 3�-.,> � ��. t qq o THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH MAR 3 u 1996 TOWN OF BARNSTABtLE VMOF&MCMoEn Appliration for Uhaipamttl Works a mitrurtiat rm " Application is hereby made for a Permit to Construct ( or Repair ( ) an Indivi agile is sal System at: •----L.,— ► ' . ............ ... z_g. -•-- `� �' �� 1 �".2 �...._ .71/6 ------- Location-Address J_IOSrLc[fQC�. `I _ _ ► h4��. _C C SOX I�(P*.�L�....'t �N*!ls.} :...:. ...OZCv`�U 1 ....... •.... ..... _. caner 1 Add '7(,sWA1 . re s . 4_1.iT�-•-- 1. ............ . vs .... MI M Installer Address C' Type of Building Size Lot... .......Sq. feet ..� Dwelling—No. of Bedrooms._......5...............................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) Otherfixtures --------------- ------------------------------------------------------ --------------- ----------------------------------•---------------•---------- W Design Flow...........L:1.........................gallons per person per day. Total daily flow..__5!,----__-----------__-__-__--g gallons. WSeptic Tank—Liquid capacity! ... '__gallons Length__._!!_..._... Width___-!v-- ----- Diameter________________ Depth_....�..�F x Disposal Trench—No. -------------------- Width-------------------- Total Length._____...._....___. Total leaching area....................sq. ft. Seepage Pit No...1 ...r? ..__.. Diameter........l-i�.--... Depth below inlet_._............. Total leaching area.7$�11.0.sTrfr Z Other Distribution box ( ) Dosing, ( ) �Percolation Test Res u is Performed by._.._�1 k� �..E..._ �4C�1! E.k .�_hhc ........_.. Date...... :-..�?_'�?. .......... as Test Pit No. 1--- ------------minutes per inch Depth of Test Pit____( _....... )�epth to ground water...O J.Ai�......... (i, Test Pit No. 2._. ......minutes per inch Depth of Test Pit..... .......... Depth to ground water_..N R....._... ----•---•---- .................................................... fO Description of Soil..... ------ a ••-- ......................... �..Sim ! Ur v41j - I �£....................:5ijNb.._...I ?" _ ►4y�� ICE !`t] ?.Q 2 v=.'. a`._.`_.�_c? .�F].t. .14- !_P4.E.....S.ILTI '''tJ._.._._ Srl_'�.G- -------- � = 5r�' '-�............................................... 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 Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compl' e has b e iss l by the b health. o Sine .. ... . ... ...................... .C� � - te g - -, Application Approved By ..............0. .-....... .. . G b................ �a..e 1� Application Disapproved for the following reasons: .. ............................... . ................... ................................................................ --------------------------------------------------------------------------------------------------------------------- Date Permit No. 9-- 14D'-3� - ----------------- Issued . 5, Date p f I o.....9 -....... Fss... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Applirtttion for Di-wipoiittl Wor1w - owitrortion ramit Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal System at:" L,777I ` r�� 2C I v F1 e__�[_!w.._f.__l %g. w\ aA P III '2 L�t�. G � .... ---- ----------------•------•--.............--- . -. •• •--•--•-•----•-- �t (- or-Lot No. Location-Address VA QZ ...•j1QF?:Sr.F..... . 'Ln1.N C�5._OF C:C-= ....-�-- G U W �L /Oner BLS \ / AddVrYesIs 7 c " M S "( r,( 7 T 7J� _•_ + Installer Address d Type of Building Size Lot..- .......Sq. feet Dwelling— No. of Bedrooms-------- ......................... -----Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons.-..------.------.---------- Showers ( ) — Cafeteria ( ) Q' Other fixtures ................ ................ . W Design Flow........... .........................gallons per person per day. Total daily flow....S5-'�.............................gallons. WSeptic Tank—Liquid capacity!Sw-.gallons Length.-.- ........... Width.... -.-.-- Diameter................ Depth..±'.l=.rr. x Disposal Trench—No. .................... Width.................... Total Length..---.....--....---. Total leaching area....................sq. ft. Seepage Pit No.-1`;-. �------ Diameter------.I-. ...... Depth below inlet...::............. Total leaching area.7kL: iI.Q.sq-fr. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Resu is Performed . Date.-...3-.!.-?..`�- .......... ..Test Pit No. 1. Z ......minutes per inch Depth of Test Pit....i 4.}........ epth to ground water...N. ........ Lz, Test Pit No. 2._- ......minutes per Inch Depth of Test Pit-----..:.......... Depth to ground water...N !- ......... ......--•....................•............ ••--••............................ D Description of Soil....� - r v .5�::. 3 Sb l t_=......N---- --� ••..... ,A('-D F'^'E...St�,-n --- -- . .... ........ �+ v4'' - I :��' t).�E _ StI N -•---.12v"_ ----- ! E- Mir?!7-•-•- -Z-.c'- ' oP s•S , c` V .............f. ... t 7.5._. �� -----`----- ------D.•......��.:'.-�c '�----- �E p ��!'' �' ............................................... 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 Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board-of health. ,�— . Signe�C3 7+l IOJt:i .... .............................. --� f-- _ 4;....._ ` Dale A lication Approved B ��(.... �efe--- ----------- -------------- G%2G�� --------- ----------- Application PP Y ............. T f................................. Application Disapproved for the following reasons: .............. . .............---.................................... . . .. . . . .. ....................... ............................................. . . ........ .. . -.. .. G 0 � Date Permit No. i-S...�...�7 . ................... Issued ............ ......�,......��..................---........-- Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TT TOWN OF BAR��NSTABLE LLertifirate of 11 ompliana THIS IS TO CERTIFY.;That the Individual Sewage Disposal System constructed ( or Repaired ( ) by.... t- ..7.10...... �- ..C�s�. rf/� -/ : %fl .�._ ..�--------------------------------- ------------ msaiuet at0�... .. h .._.....:./'. i ) -'.!_...-,.-........ ........................................................------------------------------------......-------......------------------------------ has been installed in accordance with the provisions of TITLE 5 of The State Environmental Code as escribed in the application for Disposal Works Construction Permit No. �L ..-.��-3�-............. dated , . 'r._._. . THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. r DATE..................... T ,, ......-.---- ......................... Inspector --------- - ....,._:....---------------.------..------------------------------ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Y TOWN OF BARNSTABLE No........ --.•�vs FEE........................ �ua��tr�ti,,o�n �rrutit � -- Permission is hereby granted.�Q�.�._ .......� C .._(1 : `� �-- C- to Construct (V) or Repair ( ) an Individual Sewage Disposal System at :... ----- Street as shown on the application for Disposal Works Construction Perm•t No)s -/4�- ?�ated..-..�..-?�a�-.............. /��/n� Board of Health DATE------------------�----------•--....._././ ------...---.....--------•-----.. FORM 36508 HOODS Q WARREN,INC.,PUBLISHERS No.---W,-_�-�-�—=J3 Fee--�-�--=�----- BOARD OF HEALTH TOWN OF BARNSTABLE Applicat ion-*r Well Con5tructionpermit A plic on is here made for a permit to Construct Alter ( ), or Repair ( )an individual Well at: - --- --------------------------------------------------------- Location — ddress sessors Map and Parcel r, --- — �—�— — -- — ,�1 '�- -- --_-_-- - �1 Owe A dress - �_a_ ---------------------- --- - -------- ------`�9---�----��---- -_�� > Installer — Driller Address Type of Building Dwelling -------------------------------- Other -.Type of Building ------------------- No. of Persons---------------------------------------- Type of Well-- -� -- -- YP -------- --- — Capacity---------------- ------------------- Purpose of Well-----f-�T'?° ------------- Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private Well Protection Regulation — The undersigned further agrees not to place the well in operation unt' a Ce i 'c o 1' nce has been issued by the Board of Health. Signed _G ---- — --- — `310 �---- date Application Approved By----��— - -� —--—— — J-- date Application Disapproved for the following reasons:--_____-_____—_—__-________—_______—_______—__—__�____—_ -----------—-- —__— - —--- -- — —_—--- - - ------ - — - —- - - —---- date Permit No. ---- -- — -- Issued - date BOARD OF HEALTH TOWN OF BARNSTABLE (Certificate (Of (Compliance THIS IS TO CERTIFY, at the Individual Well Constructed &�-), Altered ( ), or Repaired ( ) bY-------------- V4- -------------—------------------------------------- ' ']" rJ) ------------------ Installer --------------------------------------- at-----G�-11! -- -- — \ — + — — ------------ — has been installed in acc dance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit No. k57 --_L-3----Dated THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE-------------------— — — - - -- ----— — - Inspector--------------------------------------------- - ------------ i ��/R.R'R . �i-.'�T�'EjyP".f� p•� ` 'Ri�Hr ti•{LR'��.i'/F Ti 7ry��r(�-/~Y�r�y�N'✓'�RY�I.ST �� 7'Y�dKC!-•"...-.^�,ji.`4fyGM1+!^./.�Lx��.�`r.�.lr-MI'Y.{}.f1�'��._,�. R �tf - -- -=--�3 -�----Fee- - BOARD OF HEALTH TOWN OF BARNSTABLE ,, - Application.,_*rVell Con5tructionA9ermit A•plic loon is here made for a permit to Construct (30, Alter ( ), or Repair ( )an individual Well at: -------------------------------------------------------------- Locatioon — Address sessors Map and Parcel r �! -- --- ---- ----------------------- --— — `� „ ----------------------- C O— e Address w Installer — Driller Address 7 Type of Building . Dwelling----=- ------------------------------------------------------- Other - Type of Building--------------------------------- No. of Persons------------------------------------------------- Type of Well- --- - ---- -- Capacity---------------------- - --- - —--— — Purpose of Well - -��-�---------------- ---- �r Agreement: The undersigned agrees to-install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private Well Protection Regulation - The undersigned further agrees not to place the well in operation until a Ce i ica d o li nce has been issued by the Board of Health. --1 f en 1 Signed -- - -- --=-------------------------- - � �---;r---- date Application Approved By-- - - -- -- -— - = .�� date Application Disapproved for the following reasons:----------------------------------- ------------ -- - --____--- —- - --- --- - - - - - ----------------------------------------------------------- �y date Permit No. ---- --a =-� --- — - Issued--- '- _ - — --- - date Fy BOARD,OF HEALTH _.. TOWN ' OF E`3ARI'�ISTABLEy r r �ertif irate �f �Com:�Ciance � � � • � � -. THIS'IS TO CERTIFY, at the Individual Well.Constructed (� -Altered ( ), or Repaired ( ) b __ r -------- ------------------------------------ i---- -------------------------- Installer. y T - # has been installed in accaQdance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit No. J-,r------1•Dated 7 THE ISSUANCE OF THIS.CERTIFICATE SHALL NOT,B&CONSTRUED'AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION'SATISFACTORY:' DATE----------------- --- - - - --- -- Inspector---------------------------------------— - - ------------ 9!�Y�¢f W f0-iM YYM O�Yr i1.M��®1�W/1!�Oml�l�pM�fORNI.f®d.QIR'Y�41VS�1C sYYO.�J�D..�O�LLRCR'�1��1MJa ii11B-IRR�MR Mw�Y�.YAeIY a�ALP�!L'MeIF aaoe i�Olc aa9�':��.a61i1.�MII!'elP9R�Itir t BOARD OF HEALTH TOWN OF BARNSTABLE Veit (Congtructionperinit No. -'t`='-- ��- =--� Fee- _`- ------- Permission is hereby granted --- - ----- - - ------------------------------ to Construct V), Alter ( ), or Repair ( ) an Individual Well at: N o. ------ --------------------------------------------------- Street as shown on the application for a.Well Construction Permit No. ---------V--_1_ �—�-- --- ---------- - Dated---_�'= 1 ------------------------------------------ ------------------ ----------- - -------------------------- Board of Health DATE ENVIROTECH LABORATORIES INC. MA Cert. No.: M-MA 063 Y 449 Rte. 130 • Sandwich, MA 02563 (508)888-6460 . 1-800-339-6460 FAX(508)888-6446 CLIENT: Reef Realty LOCATION: Lot 17 Percival Dr. P.O. Box 186 W. Barnstable, MA W. Dennis, MA 02670' SAMPLE DATE: 3-21-95 COLLECTED BY: Clifford Well Drilling DATE RECEIVED: 3-21-95 TIME: 11:00AM LAB I.D. NO. : E3-292 JOB TYPE: New well SAMPLE I.D.NO. 17 WELL SPECS. : 72' RESULTS OF ANALYSIS: Parameters Units Recommended Limit Result Coliform bacteria/100m1 (MF Method) 0 0 pH pH units 6.0-8.5 5.96 Conductance umhos/cm 500 108 Sodium mg/L 28.0 9.65 Nitrate-N mg/L 10.0 0.16 Iron mg/L 0.3 LT 0.05 Manganese mg/L 0.05 0.007 Volatile Organics See enclosed report. EPA 601/602 ug/L Yes No WATER IS SUITABLE FOR DRIN 'I;r;:= AMETERS TESTED. x - Date 3 2 Y fr -�'Roihald J. ari Laboratory irector IT = Less Than 3-L4-yb b: 3� AM ;,.xeUUNllWA'likk: A1NALY'1'1GAL L"NV1tCV1r;Gri bud /by 44111):8 Ll 4 y. * r .. GROUNDWATER ANALYTICAL EPA METHODS 601 and 602 Volatile Organics (GC/PID/ELCD) Field ID: E3292 Lab ID: 10225-01 Project: Reef Realty/Lot 17 Percival Batch ID: V62-0577-W Client: Envirotech Sampled: 03-21-95 Cont/Prsv: 40mL VOA Vial/HC1 Cool Received: 03-21-95 Matrix: Aqueous Analyzed: 03-22-95 PARAMETER CONCENTRATION REPORTING LIMIT (u9/L) (ug/L) Dichlorodifluoromethane BRL 5 Chloromethane BRL 5 Vinyl Chloride BRL 5 Bromomethane BRL 5 Chloroethane BRL 5 Trichlorofluoromethane BRL 1 1,1-Dichloroethene BRL 1 Methylene Chloride BRL 1 trans-1,2-Dichloroethene BRL I 1,1-Dichloroethane BRL 1 cis-1,2-Dichloroethene * BRL 1 Chloroform 1 1 1,1,1-Trichloroethane BRL 1 Carbon Tetrachloride BRL 1 Benzene BRL I 1,2-Dichloroethane BRL 1 Trichloroethene BRL 1 1,2-Dichloropropene BRL 1 Bromodichloromethane BRL 1 2-Chloroethyl Vinyl Ether BRL 5 _c,s-1,3-Di chl oropropene BRL 1 Toluene BRL 1 trans-1,3-Dichloropropene BRL 1 1,1,2-Trichloroethane BRL 1 Tetrachloroethene BRL 1 Dibromochloromethane BRL 1 Chlorobenzene BRL 1 Ethylbenzene BRL 1 meta-and Para-Xylene * BRL 1 ortho-Xylene * BRL 1 Bromoform BRL 1 1,1,2,2-Tetrachloroethane BRL 1 1,3-Dichlorobenzene BRL 1 1,4-Dichlorobenzene BRL 1 1,2-Dichlorobenzene BRL 1 QC SURROGATE COMPOUND SPIKED MEASURED RECOVERY QC LIMITS a,a,a-Trifluorotoluene 30 29 98 % 87 - 113 % 1,2-Dichloroethane-d4 30 33 111 % 83 - 117 % BRL - Below Reporting Limit. * Non-target compound. Method References: Method 601 - Purgeable Halocarbons and Method 602 - Purgeable Aromatics, 40 C.F.R. 136, Appendix A (1986). 1----------------------------------------- - N ASSESSORS. MAP. 111 / NOTES: • s3 TEST HOLE LOGS E 4 PARCEL. ' (NGVD +1. VERTICAL DATUM. ASSUMED FROM QUAD -) ENGINEER. DOYLE ENGINEERING CURRENT ZONING:�_ 2. MUNIGAPAL WATER IS NOT AVAILABLE. WITNESS: $ a' BUILDING SETBACKS: N. LEITNER - 3. SCHEDULE 40 - 4" PVC PIPE TO BE USED.THROUGHOUT:SEPTIC SYSTEM. b� , ATE. 3-17-87 F.�_ S. 15 R. 15 � 4. ALL.PRECAST UNITS TO CONFORM WITH AASHTO H-10 do H-20 cog s�. PERCOLATION RATE: < 2 MIN/IN LOADING SPECIFICATIONS. q FLOOD ZONE C S. PIPE PITCH = " PER FOOT ,(UNLESS NOTED OTHERWISE). szo 101D 6. FIRST TH-1 t TH-2 1�'4 S 2' OF PIPE OUT OF D-BOX TO BE LAID LEVEL. g ELEV ELEV C SYSTEM HAS NOT BEEN DESIGNED T O ACCOMODATE THE TOP � TOP �t 7. THE SEPTIC TEM H Lows SUBSOIL z4" le' SUBSOIL99.5 USE OF A GARBAGE DISPOSAL. 1 HARD FINE ' `8. ALL'CONSTRUCTION DETAILS ARE TO BE IN CONFORMANCE WITH THE FINE SILTY C SAND dt SAND STATE OF MASS. ENVIRONMENTAL CODE (TITLE FIVE) AND LOCAL LOCATION MAP , BOULDERS . 97.o '84" eso 48" HEALTH REGULATIONS. LOT 17 110. , VERIFY OF ALL UTILITIES PRIOR _ , 9. CONTRACTOR TO ER FY MEDIUI! 35,181 SF SAND MEDIUM TO CONSTRUCTION. f 08 82D (0.81 AC.) - 1z0' SAND ` . 10. PROPOSED SEPTIC SYSTEM AND WELL LOCATION ARE IN ACCORDANCE 1 os_ FINE WITH MASTER PLAN ON FILE WITH BARNSTABLE HEALTH DEPT. SAND 96' 193.0 (sMEARINc) LOCATION OF SEPTIC SYSTEM HAS BEEN REVISED SLIGHTLY FROM 104 - _ r. ° 144" 8oD MASTER PLAN BUT STILL MEETS ALL SETBACK REQUIREMENTS. h ` 1 oz- _ _ _ . � �, � .� 11. D_BOX TO BE WATER TESTED TO ENSURE LEVELNESS AND EQUAL FLOW. NO GROUNDWATER ENCOUNTERED ? 12. DESIGN ENGINEER TO INSPECT AND CERTIFY SOIL CONDITIONS AT . , TIME OF CONSTRUCTION. 98_ `f o8 SEPTIC SYSTEM DESIGN 96 - TH-z FLOW ESTIMATE: ` . . 5 BEDROOMS AT 110 GAL DAY BEDROOM - 550 CAL/DAY 92 - so, ' , , SEPTIC:TANK: .• . * CAL 550 GAL/DAY 1.5 DAYS 825 Dx sa 10 USE 1500, GALLON SEPTIC TANK y � 106 88 ��}+� s .` PROPOSED 24' ,fie 5 BEDROOM LEACHING AREA: DUELLING 86. ,. p ► i ` . GARAGE .�c ► , , 102 USE TWO LEACH PITS 6' x 4') WITH 2' OF STONE 24' ( 3s' e i _ i (10 EFFECTIVE DIAMETER'. x 4' DEEP) i 100 -SIDE ARE - 10 x 4 x PI = '126 SF (2.5) - 314 GAL/DAY PROPOSED DWELLING BOTTOM AREA. 5 x 5 x PI = 78 SF (1.0) = 78 GAL/DAY v 80` �o 98 TOTAL CAPACITY =_392 GAL/DAY x 2, PITS = 786 GAL/DAY 96 E�PT I C SYSTEM M SECTION T 1 O N 2" PEASTONE S ` . 92 OF3 4 - 1 1 2" 1� COVERS WITHIN 12" ` 80 OF FINISHED GRADE , d - - , 88 97.0 WASHED STONE ,5 78 - , , TOP OF FOUNDATION 86 O 76_,_ - 84 82 - 80 ZEXISTING WELL �. -. , ,� � •78 o c� 93.55 74, 6. N 4, o ELEV. 7s 93.8 5'00 D-BOX 2 LP #1: 85.0 74 _15__-GAL 93.3 , - - ELEV. LP_ 2 81.0 SEPTIC TANK 93.49 ELEV. # I _ 74 PROPOSED WELL LP #1: 89.0 �_, s ELEV. W 76 z03' TO LEACH PIT 94.0 ELEV. 2, ( � LP 2. 85.0 2 - 8 ELEV. TEE SIZES': R=190 9f " ELEV. 10' ---� A=,zs. oo INLET. 6�° UP, 10 DOWN • 76 TWO`LEACH PITS 6' x 4' WITH OUTLET. 6" UP, 19 DOWN ( )�-UTILITY CLUSTER 2 OF STONE (10 EFF. DIAM. x 4, DEEP) (H-20) BLVC)DURK AT 78 76. 8 BREAKOUT CALC.: (85.5 - 80) / 60 z 150 = 14' CATCH�BASINELJrV. 10; 79. 0 ICI SITE AND SEWAGE PLAN �4Z KEY: DRIP LOCATION. EXISTING CONTOUR: PROPOSED CONTO UR: LOT 17 PERCIVAL DRIVE EXISTING SPOT ELEVATION. 25.5 - r. W ST BARNST ABLE MA PROPOSED SPOT.ELEVATION:. 25 �a « r .;__ , , �•�;;� i....� ,y E PR y�.,. EST HOLE. _ # PREPARED FOP, UTILITY POLE: -0- FENCE LINE. REEF REALTY G --- . • HYDRANT: 0m] -b - _ _ - DEMAREST-YoLELLAN ENcrxaaRlxc7� SCALE. 1" - 40' DATE. 3 8 95 RETAINING WALL. 24 SCHOOL STREET P.O. BOX 463 a WEST DENNIS, YASSACHUSETTS 02670 REFERENCE: PLAN BOOK 413 PAGE 99 DM # 24_M=17 THOMAS McLELLAN, P.E. JOHN Z. DEMAREST JR., P.L.S. • C c tj ASSESSORS MAP. ))1 TEST HOLE L S NOTES: PARCEL: 63 :: L LOG 1. VERTICAL DATUM: ASSUMED FROM QUA_ (AGVD + -- 4 CURRENT ZONING: ENGINEER: DOYLE ENGINEERING = Rom_ 2. MUNICAPAL WATER IS NOT ,AVAILABLE. $ er BUILDING SETBACKS: WITNESS: N. LEITNER " / 3. SCHEDULE 40 4 .PVC PIPE TO BE USED THROUGHOUT SEPTIC SYSTEM. �►J F: S: R: 15' DATE: 3-17-87 cp �� - 4. ALL PRECAST UNITS TO CONFORI! WITH AASHTO H-10 dt H-20 , PERCOLATION RATE: < 2 MIN/IN, LOADINGSPECIFICATIONS. q FLOOD ZONE: C - 5. PIPE PITCH = 114" PER FOOT,(UNLESS NOTED OTHERWISE). 5 TH-f 92.0 TH-2 101.0 6. FIRST 2' OF PIPE OUT OF D-BOX TO BE LAID LEVEL. TOP ELEV TOP A: ELEV 7. THE SEPTIC SYSTEM HAS NOT BEEN DESIGNED TO ACCOMODATE THE SUBSOIL SUBSOIL zoCUs 24" - le9 _ USE OF A GARBAGE :DISPOSAL. - HARD FINE 8..ALL .CONSTRUCTION DETAILS ARE TO BE IN CONFORMANCE WITH THE - FINE at s D STATE OF MASS. ENVIRONMENTAL CODE (TITLE FIVE) AND LOCAL LOCATION MAP f o 84" BOULDLrRs 85.0 4e 97.0 1 HEALTH REGULATIONS. LOT ' ' 9. CONTRACTOR TO VERIFY LOCATIONS OF ALL UTILITIES PRIOR 35,181 SF . - MEDIUM 1oe _ _ SAND MEDIUM TO CONSTRUCTION. (OBI AC.) _ . 120" 82.0 SAND f Os.. _ _ _ - `•`, '. FrxE 10. PROPOSED SEPTIC SYSTEM AND WELL LOCATION ARE IN ACCORDANCE • 96` 99.0 WITH MASTER PLAN ON FILE WITH BARNSTABLE HEALTH DEPT. �� `�` ��. \'110 ' (S(SMEARING) LOCATION OF SEPTIC SYSTEM HAS BEEN REVISED SLIGHTLY FROM 104 - - _ - ' ` 144" 80.o MASTER PLAN BUT STILL MEETS ALL SETBACK REQUIREMENTS. 102- _ _ _ _ ` ��` `�` •�\ NO GROUNDWATER ENCOUNTERED f1. D-BOX TO BE WATER TESTED TO ENSURE LEVELNESS AND EQUAL FLOW. a (sirE -r¢ ct'HY Holds Wo too - _ 12. DESIGN ENGINEER TO INSPECT AND CERTIFY SOIL CONDITIONS AT m Gc26A40 KITEr AT ELCY- 75) TIME OF CONSTRUCTION. `108 SEPTIC SYSTEM DESIGN 96 9 \ - TH-2 4 - - FLOW F,STIMAT.F: BEDROOMS AT 110' GAL/DAY/BEDROOM = 550 GAL/DAY 90, SEPTIC TANK: t' -5,51L GAL/DAY * 1.5 DAYS = 825 GAL DK sd 104 USE 1500` GALLON SEPTIC .TANK PROPOSED af�{,. ig> � , `i `` 28' 5 BEDROOM 24' 86 . o LEACHING AREA: DWELLING . •. GARAGE `.,►� , •'• ►• ��, tit . 102 USE TWO LEACH PITS (6' x 49 WITH 2' OF STONE �, 24' �G • �1 84 00' EFFECTIVE DIAMETER x 4':DEEP) •. f00 82\ �. �` , SIDE AREA, 10 x 4 x PI = 126 SF' (2.5) 314 GAL/DAY PROPOSED DWELLING EOTTON AREA: 5 x 5 x PI 78 S'F (1.0) = 78 'GAL/DAY $ o TOTAL CAPACITY = GAL DAY TH-1 `. � 2 PITS = 786 GAL/DAY 96 \ 94 SEPTIC SYSTEM SECTION 2" PEASTONE 92 'so COVERS WITHIN 12' OF 3/4" - 1 1/2" \ OF FINISHED GRADE 97.0 : _ WASHED STONE �5 78 TOP 0 FOUNDATION _ ` \86 O `84 82 80 EXISTING HELL 74 - _� ` - _ _ ` - 78 „ ti 74 93.55 a o - - _ 93.8 ELEV. `74 76 ` 1500 GAL, � D--BOX 93.32 Q LP #1: 85.0 - ELEV. LP #2: 81.0 SEPTIC .TANK 93.49 ELEV. LP #1: 89.0 ,. , .-t ELEV.- 'rq 76� __----PROPOSED WELL 94.0 (203' TO LEACH PIT) ELEV. 8 R=190 1 ELEV. TEE SIZES. LP ; ELEV. . .._ �._., -#� 7s A-26. 00 INLET: 6" UP, 1'0" DOWN 10' OUTLET: 6" UP 19" DOWN TWO LEACH PITS (6' x 4') WITH .. �-UTILITY CLUSTER 2' OF STONE (10' EFF. DIAM. x 4' DEEP) (H=-20) BaJwimlim AT 78 CATCH BASIN 7s. 8 ALC.: (85.5 - 80) / 60 = 14' BREAKOUT C x 150 ELEV.= 75.1 4:8 10; 7s. o .A op p _ . CI .. SITE AND SEWAGE PLAN KEY: jh :LOCATION. EXISTING CONTOUR: -- _ ... ` PROPOSED CONTOUR. LOT 17 PERCIV AL DRIVE EXISTING SPOT ELEVATION: 25.5 ,• e, � Ffi t j1.,..,.. 4 S :' ►$: �)a Aca C' I/ PROPOSED SPOT ELEVATION. 25 EST BARNST ABLE MA • :. - y .... C1L i_ .y try - .. TEST HOLE. UTILITY POLE: - PREPARED FOR: rY�,�5 �n FENCE LINE. ,� DM e. ems.� . REEF REALTY . . , HYDRANT: ,, , RETAINING WALL: - - DEMAREST-MCLELLAN ENGINEERING , i, SCALE: 1" = 40' DATE:. 3=8-95. 24 SCHOOL STREET P.O. BOX 463 rZl l - 12. `15 LEST DENNIS, YASSACHUSETTS 02670 RE FERENCE: PLAN BOOK 413 PAGE 99 THOMAS MCLELLAN, P.E. JOHN Z. DEMAREST JR, P f N l 'ASSESSORS .MAP. 111 PARCEL: 63 TEST HOLE LOGS NOTES. I. VERTICAL DATUM. AS SUMED FROM OVA NGVn + 4 CURRENT ZONING.. RF ENGINEER. DOYLE ENGINEERING p d, `2. MUNICAPAL WATER IS NOT AVAILABLE. : BUILDING SETBACKS:' WITNESS. N. LEITNER s 3."SCHEDULE 40 - 4" PVC PIPE TO BE USED THROUGHOUT SEPTIC SYSTEM. $i F. F R: 15 DATE: 3-17-87 c$_ 30' S:.��_ '. ALL PRECAST UNITS TO CONFORM WITH AASHTO H-f0 & H-20 ' PERCOLATION RATE: < 2 MIN/IN ' LOADING SPECIFICATIONS. FLOOD ZONE: C TH-2 5. PIPE PITCH = 14"PER FOOT,(UNLESS NOTED OTHERWISE). 5 TH-1 924 fo1.O 6. FIRST 2' OF PIPE OUT OF D-BOX TO BE LAID LEVEL. ,o TOP aLEv TOP & ELEV 7. THE SEPTIC SYSTEM HAS NOT BEEN DESIGNED TO ACCOMODATE THE 24' SUBSOIL 18' SUBSOIL 99Z USE OF A GARBAGE DISPOSAL. LOCUS -t� F� FINE S. ALL CONSTRUCTION DETAILS ARE TO BE IN CONFORMANCE WITH THE SAND SAND STATE OF MASS. ENVIRONMENTAL CODE (TITLE FIVE) AND LOCAL LOCATION MAP 110, ,' 84- BOULDERS 8s o 4e 97.0 HEALTH REGULATIONS. LOT 17 ` 9. CONTRACTOR TO VERIFY LOCATIONS OF ALL UTILITIES PRIOR 35,181-SF sAxD y 108 , _ - MEDIUM TO CONSTRUCTION. (0 81 AC.) - 1zo•' 82D SAND fob- ` FINE SAND PROPOSED SEPTIC SYSTEM AND WELL LOCATION ARE IN ACCORDANCE _ .' ``. `. `. \ sAND 86" 93.0 WITH MASTER PLAN ON FILE WITH BARNSTABLE HEALTH DEPT. \ %,110 (SMEARING) LOCATION OF SEPTIC SYSTEM HAS.BEEN REVISED SLIGHTLY FROM ` 144" 1 80.0 MASTER PLAN BUT STILL MEETS ALL SETBACK REQUIREMENTS. 102- _ _._ `\ ♦ 11. D-BOX TO BE WATER TESTED TO ENSURE LEVELNESS AND EQUAL FLOW. \ \ ma NO GROUNDWATER ENCOUNTERED ('StrE VPOCV.4PHY srioWS No . 12. DESIGN ENGINEER TO INSPECT AND CERTIFY SOIL CONDITIONS AT Cd�r-Abl\b41E?_ AT Et EY-. 75) TIME OF CONSTRUCTION. N108SEPTIC SYSTEM .�DESI GN 98_ , \ TH-2 - , ® FLOW ESTIMATE:94 .5_ BEDROOMS AT 110 GAL/DAY/BEDROOM 550 GAL/DAY \ 9z 90\ \ �„ •• •�¢ •�'' ,, � '\ \`,�. SEPTIC TANK: ♦ `, 550 GAL/DAY * 1.5 DAYS = 825 GAL 106 DS F160' \CJ s Ro 04 USE 1500 GALLON SEPTIC TANK 88, PROPOSEiL 86, , •\ .` •�f,y. ey 1Vc� ••'= ` ';: '. `, • 28' S BEDROOM 24' \ o , c LEACRING AREA: a DWELLING GARAGE \ 102 USE TWO LEACH PITS 6' x 4' WITH 2' OF STONE 24• , OCT EFFECTIVE DIAMETER x 4' DEEP) -_ 82\ a SIDE AREA 10 x 4 x PI = 126 SF (2.5) = 314 GAL/DAY c, , PROPOSED DWELLING �� BOTTOM AREA: 5 x"5 x PI = 78 SF (1.0) = 78 GAL/DAY ' 80 . . c .` . `� 98 \ ..,._., - TOTAL CAPACITY = 392 GAL DAY - TH-1 a 2 PITS 786 GAL/DAY ` 96`♦ SEPTIC SYSTEM SECTION 2 PEAS 94 TONE 1 `92 OF3 4" - 1 1 2" 90 COVERS WITHIN 12" \ . . .\ ♦ OF FINISHED GRADE d 88 „ 97.0 - WASHED STONE 78 TOP OF FOUNDATION . O _.ter _`. . ` ` \ 76 . 8482 I 1 80 INXISTING WELL T74, -78 - ,I 93.55 c� r� a o 93B E'LEV. _D BOX >500 GAL 93.32 LP #1: 85.0 / 74 ELEV. SEPTIC TANK 93.49 LP #2: 81 0 -PROPOSED WELL 3 ELEv: 7s ��' 94.0 (; LP #1: 89.0 ELEV. (208' TO LEACH PIT) ELEV.' 8 ELEV. TEE SIZES: 75. 4 , q f• R=f90 9f 7s A-26. oo INLET: 6" UP, 10" DOWN ELEV. 10' -, OUTLET: 6" UP 19"'DOWN TWO LEACH PITS 6' x 4' WITH UTILITY CLUSTER + 2' OF STONE 10' EFF. DIM. x 4' DEEP .H-20 ARK AT 78 ;+ CATCH BASIN BREAKOUT CALC.: (85.5 80) / 60 x 150 = 14' ELEV= 75.1 f 0; 79. 0 . 9 c � _ I SITE AND SEWAG �L � SEWAGE , PLAN .KEY: -; l�r ;, OCA 0 : : - EXISTING'CONTOUR. L TI N PROPOSED CONTOUR.. LOT 17 PERCIVAL DRIVE' EXISTING SPOT ELEVATION, 25.5 c c G , C PROPOSED SPOT'ELEVATION. 25 WEST BARNSTABLE MA [� w . TEST ROLE. - o cv.,. z,- , { : PREPARED FOR: UTILITY POLE: �C -.;r v ho..�SF<5s 1'0 , .FENCE LINE.: DM REEF REALTY HYDRANT. -13- o DaMAREST-McLELZAX ENGINEERING WALL: � SCALE. �1"_-`40'_ DATE: 3-8-95 RETAINING 24 SCHOOL STREET PD. BOX 463 • PLAN BOOK 413 PAGE 99 WEST DENNIS MASSACHUSE'TTS 02670 REFERENCE. JO Z. E EST J .' .Ls: DM 94-039-YI' T HO111 AS �l cLELLAN,:P.E HN. D MAR R, P # . - t