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2179 SERVICE ROAD - Health
2179 Service Read W. Barnstable A = 214 073 - -- - - - - - li I D D o —� 16; Page: 1 of 1 CERTIFICATE OF ANALYSIS Barnstable County Health Laboratory (M-MA009) 'vsr,�CH,�st?i' Report Prepared For: Report Dated: 4/28/2015 Kim Mitchell Order No.: G1586335 P O Box 83 W Barnstable, MA 02668 Laboratory ID#: 1586335-01 Description: Water-Drinking Water Sample#: Sample Location: 2179 Service Rd.West Barnstable, MA Collected: 04/22/2015 Collected by: Received: 04/22/2015 Routine ITEM RESULT UNITS RL MCL METHOD# TESTED Nitrate as Nitrogen 6.4 mg/L 0.10 10 EPA 300.0 4/22/2015 Copper 0.16 mg/L 0.10 1.3 SM 3111 B 4/24/2015 Iron _ 0.10 mg/L 0.10 0.3 SM 3111B 4/24/2015 pH 6.0 PH AT 25C • NA 6.5-8.5 SM 4500-H-13 4/22/2015 Sodium 13 mg/L 2.5 20 SM 3111E 4/24/2015 Total Coliform Absent P/A 0 0 SM 9223 4/22/2015 Conductance 170 umohs/cm 2.0 EPA 120.1 4/22/2015 Water sample meets the recommended limits for drinking water of a/1 the above tested parameters_ Attached please find the laboratory certified parameter list. Approved By: (Lab Director) V-2 t i 1 ND=None Detected RL = Reporting Limit MCL,=Maximum Contaminant Level Superior Court House, PO. Box 427, Barnstable, MA 02630 Ph: 508-375-6605 f CERTIFICATE OF ANALYSIS Barnstable County Health Laboratory (M-MA009) Recipient: Matrix: Water-Drinking Water Kim Mitchell Sampled: 04/22/2015. 10:30 P 0 Box 83 Received: 04/22/2015 11:05 W Barnstable, MA 02668 Collection Address: 2179 Service Rd.West Barnstable, MA Sample Location: Order#: G1586335 Description: rkt Lab ID: 1586335-01 Date Analyzed: 4/23/2015 @ . 15:45 Sample#: Analyst: yn Method: EPA 524.2 Dilution Factor: 1 Comment: Water sample meets the recommended limits for drinking water of all the above tested parameters. EPA 524.2 - volatile Organics by GC/MS Result MCL MDL Result MCL MDL Parameter ug/L ug/L ug/L Parameter ug/L ug/L ug/L Dichlorodifluorc methane ND 0.50 Chloroform 1.4 80 0.50 Chloromethane ND 0.50 cis-1,2-Dichloroethene ND 70 0.50 Vinyl chloride ND _ 2.0 0.50 cis-1,3-Dichloropropene ND 0.50 Bromomethane ND 0.50 Dibromochloromethane ND 0.50 1,1,1,2-Tetrachloroethane ND 0.50 Dibromomethane ND 0.50 1,,11-,-1-Trichloroethane ND 200 0.50 Ethlbenzene ND 700 0.50 1� ,1,2,2-Tetrachloroethane ND 0.50 Hexachlorobutadiene ND 0.50 1,1,2-Trichloroethane ND 5.0 0.50 Isopropyl benzene ND 0.50 1,1-Dichloroethane ND 0.50 Methylene chloride ND 5.0 0.50 1,1-Dichloroethene ND 7.0 0.50 Methyl-tert-butyl ether 2.5 0.50 1,1-Dichloropropene ND 0.50 Naphthalene ND 0.50 1,2,3-Trichlombenzene ND 0.50 n-Butylbenzene ND 0.50 1,2,3-Tnchloropropane ND 0.50 n-Propylbenzene ND 0.50 1,2,4-Trichlorobenzene ND 70 0.50 p-Isopropyltoluene ND 0.50 1,2,4-Tn methyl benzene ND 0.50 sec-Butylbenzene ND 0.50 1,2-Dibromo-3-c-iloropropane ND 0.50 Styrene ND 100 0.50 1,2-Dibromoethane(EDB) ND 0.50 tert-Butyl benzene ND 0.50 1,2-Dichlorobenzene ND 600 0.50 Tetrachloroethene ND 5.0 0.50 1,2-Dichloroethane ND 5.0 0.50 Toluene ND 1000 0.50 1,2-Dichloropropane ND. 0.50 Total xylenes ND 10000 0.50 1,3,5-Trimethylbenzene ND -0.50 trans-1,2-Dichloroethene ND 100 0.50 1,3-Dichlorobenzene ND 0.50 trans-1,3-Dichloropropene ND 0.50 13-Dichloropropane ND 0.50 Trichloroethene ND 5.0 o.so 1,4-Dichlorobenzene ND 5.0 0.50 Trichlorofluoromethane ND 0.50 2,2 Dichloropropene ND o.5o Surrogates %Recovered QC Limits(%) 2-Chlorotoluene ND 0.50 p-Bromofluorobenzene 83% 70 130 4-Chlorotoluene ND 0.50 1,2-Dichlorobenzene-d4 83% 70 130 Benzene ND 5.0 0.50 Bromobenzene ND 0.50 Bromochloromethane ND 0.50 Bromodichloromethane ND 0.50 Bromoform ND 0.50 Carbon tetrachloride ND 5.0 0.50 Chlorobenzene ND 100 0.50 Chloroethane ND _ 0.50 r Approved By: Attached please find the laboratory certified parameter list. (Lab Director) ND=None Detected RL = Reporting Limit MCL=Maximum Contaminant Level Superior Court House, PO. Box 427, Barnstable, MA 02630 Ph: 508-375-6605 Page 1 of 1 ► jai g I as b A � 6 ----------------------------- Ir------------------------------------- I I 1 uroolec. ---- -----------------I I I I mn I � I I jaa EASEMENT tl �i•1a `�' i i xZU �' I 19 �'C4NC.9LAB ggGGG6GGee33 I 1 V](n I IlV GLEAN CQ•IPACTED EJND I 1 1 I I I Z Q Q I I I o YYYY n q? I L_______________ 1 I ❑ S I r ___J I I B �J L�ai�bi�m'w�eWRum �t! I 9i9ie���Y•@��Q��� , I c � raNc rm. p¢1 I yy Dp3 g p Q99e R{ 1 � I� : � YI 1 •�'�QE���� 7�Ef� s 1 9 figp I - i u A 1 i �9S,�p6v9geeN�pr I � zis�sE��aalsiQ�a� ------------------------------- ------- uN z 0 FOUNDATION PLAN z a to .eaov.DE DAnPRooplNc Q TO PERR1ETm CP NEW rpN.WA11.5 TO 1 , NEIGFfi W NEN mm,I ED GRADE. O LL . • NO7E •MD vGVVT ALL pnCtlUef/NC/A. azRnur[w caow LW' d fi Q tY l cif I I i F I emney T L_______________ L'i mil. erur--� O �� \e¢or�/•i� e u wu we it u 1 li� I mlrtlnulcrw.o l i i i � II i rrc I 1 I I 4 I 1 e7 SECOND FLOOR PLAN 1 1 y BEDROOM a I � Cd 2P 1 n O viun�. j BEDROOM LIVING RM j 11 ® I II 1 I 11 I 1 1 1 cooem i t O 4I 1 I 1 -sun♦ewe I I FIRSE�W' I'T FLOOR PLAN 6CAL -0' - . Commonwealth of Massachusetts Nv ��- Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 2179 Sednrice Rd.West Barnstable, MA 02668 = _ Property Address ; John Mitchell PO Box 83 Owner Owner's Name information is West Barnstable MA 02668 4/28f2015 required for every Cityrrown State Zip Code Date of:pbgmcdon page- u 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. Importaft When A. Genera! Information g Sling out forms on the computer, use only the tab 1. Inspector: key to move your cursor-do not Paul Martin use the return Name of Inspector key. Cape Cod Septic Services &y Company Name 350 Main St Company Address � W.Yarmouth MA 02673 CitYrrown State Zip Code 508-775-2825 S16016 Telephone Number License Number B. Certification 1 certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true,accurate and complete as of the time of the inspection.The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000).The system: Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority inspector's Signature Date The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection.Ifthe 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- the re cruder the same or different conditions of use. t5ins•3113 Title 5 Official inspection Form:Sdmrfacs Sewage Disposal System•Page d 17 r Commonweatth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 2179 Sedrvice Rd.West Barnstable, MA 02668 Property Address John Mitchell PO Box 83 Owner Owner's Name information West Barnstable MA 02668 4/28/2015 page-ed every Cityfrown State Zip Code Date of tnspedion page- B. Certification (cunt.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ® 1 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: System in working condition 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"yyes°,°no"or"not determined'(Y, N, ND)for the following statements. If mnot 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 exfittration 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•3113 Title 5 OffdW n 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 2179 Sedrvice Rd.West Barnstable, MA 02668 Pmperty Address John Mitchell PO Box 83 Owner Owner's Name information r is West Barnstable MA 02M 4/28/2015 required for every page- Cily/Town State Zip Code Date of InspecfiOn B. Certification (cont.) [] Pump Chamber pumps/alarms not operational.System will pass with Board of Health approval if pumps/alams are repaired. B) System Conditionally Passes(cunt): ❑ 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•W13 Title 5 Official kispec ion Form:Subsurface Sewage Disposal System•Page 3 of 17 1 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System form-'Not for Voluntary Assessments .. 2179 Sedrvice Rd.West Barnstable, MA 02668 Property Address John Mitchell PO Box 83 Owner Owner's Name woffnrequired West Barnstable MA 02668 4/28/2015 required for every page. City/Town State Zip Code Date of Inspecfion 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 coliiform 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 %day flow t5ais•3M3 Me 5 Official hispectim Forth:Subsurface Sewage Disposal System•Page 4 of 17 I. Commonwealth of Massachusetts Title 5 Official Inspection Form . Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 2179 Sedrvice Rd.West Barnstable, MA 02668 Property Address John Mitchell PO Box 83 Owner Ownees Flame inforrnatror is West Barnstable MA 02668 4/28/2015 required fof every �yrr� state Zip Code Date of Inspection page. B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS,cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a.cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis,performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A ropy of the analysis and chain of custody must be attached to this form.] El ® 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 east 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 System: 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 11 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 t5ft•3M 3 Tile 5 official kq)ecbm Fomt Surface Sewage Disposal System Page 5 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 2179 Sedrvice Rd.West Barnstable, MA 02668 Property Address John Mitchell PO Box 83 Owner Owner's Name iequire fb is West Barnstable MA 02668 4/28/2015 required for every page- Cityrrown State Zap Cade 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)1310 CMR 15.302(5)] D. System Information Residential Flow Conditions: Number of bedrooms(design): 3 Number of bedrooms(actual): 3 DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): 11Qx3 330gpd t5im-3113 Tits 5 Of eJ Wmped=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 2179 Sedrvice Rd.West Barnstable, MA 02668 Property Addnm John Mitchell PO Box 83 Owner owner's Name information is West Barnstable MA 02668 4/28/2015 required for Y page- Cityrrown state Zip Code Date of Inspection D. System Information Description: Number of current residents: 3 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system?(include laundry system inspection information in this report.) Yes ® No Laundry system inspected? ® Yes ❑ No Seasonal use? ❑ Yes ® No Water meter readings, if available(last 2 years usage(gpd)): NIA Well Detail: Sump pump? ❑ Yes 0 No Last date of occupancy: Current P �Y= Date Commercianxiustrial Flow Conditions; Type of Establishment: Design flow(based on 310 CMR 15.203): Cau=per day(spd) 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•3H 3 Title 5 Olfidal Inspection Form:Subsurfim Sawage Disposal System•Page 7 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 2179 Sedrvice Rd.West Barnstable, MA 02668 Property Address John Mitchell PO Box 83 Owner Owner's Name rformation required for every West Barnstable MA 02668 4IM2015 Page- Cityrrown State Zp Code Date of Inspection D. System Information (cost.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Source of information: Noo Records Was system pumped as part of the inspection? ❑ Yes ® No If yes,volume pumped: 9 �t►s-_..__ __. 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/Attemative technology_Attach a copy of the current operation and maintenance contact(to be obtained from system owner)and a copy of latest inspection of the VA system by system operator under contract ❑ Tight tank.Attach a copy of the DEP approval. ❑ Other(describe): t5ins-3/13 Title 5 Official Inspection Form Subsurface Sewage Disposal System-Page 8 of V Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 2179 Sedrvice Rd.West Barnstable, MA 02668 Property Address John Mitchell PO Box 83 Owner Owners Name requir eaon is West Barnstable MA 02668 4/28/2015 requires for every Pap- Cityrrown State Zap Code Date of Inspection D. System Information (cont.) Approximate age of all components,date installed(if known)and source of information: 2002 Per BOH records Were sewage odors detected when arriving at the site? ❑ Yes 0 No Building Sewer(locate on site plan): Depth below grade: 57N feet Material of construction: ❑cast iron ®40 PVC ❑other(explain): Distance from private water supply well or suction line: +10' feet Comments(on condition of joints, venting, evidence of leakage,etc.): Line checked with sewer camera and was found to be clean, properly pitched with no sign of root intrusion. Septic Tank(locate on site plan): CAN 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. 1500Gal `+ pn Sludge depth: t5hr..3H3 Title 5 olriaW kWeebw Fern subst =Sewage Disposal Sysam•Page 9 of 17 Commonwealth of Massachusetts i o UTitle 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 2179 Sedrvice Rd.West Barnstable, MA 02668 Property Address John Mitchell PO Box 83 Owner Owner's Name rm on is required for every West Barnstable MA 02668 4/28/2015 . page. City/Town State Zip Code Date of tnspecfion D. System Information (cont.) Septic Tank(cent) Distance from top of sludge to bottom of outlet tee or baffle Scum thickness 2-4" Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle How were dimensions determined? Estimated Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert,evidence of leakage, etc.): 1500 Gal H-10 tank in good overall condition. PVC tees in place and clean.Tank at normal operating level. Inlet cover at grade. No risor on outlet Recommend service of tank. 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 t.5ft•3M3 Title 6 OfftCW. Form Subauface Sewage Disposal System•Page 10 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 2179 Sedrvice Rd.West Barnstable, MA 02668 Property Address John Mitchell PO Box 83 Owner Owner's None information is required for every West Barnstable MA 02668 4/28/2015 page. City/Town State Zip Code Date of Inspection D. System Information (cunt.) 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: gattons 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, eta): *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No t5ins•3r13 TWO 5 Otfiaal ftwpedian Fwm: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 2179 Sedrvice Rd.West Barnstable, MA 02668 Property Address - John Mitchell PO B:)x 83 Owner Owner's Name Whrrnarequired fb on`� West Barnstable MA 02668 4/28/2015 required for every page. Ctityrrown State 4 Code Date of Inspection D. System Information (cunt.) Distribution Box(if present must be opened)(locate on site plan): Depth of liquid level above outlet invert 0" Comments(note if box is level and distribution to outlets equal,any evidence of solids carryover, any evidence of leakage into or out of box, etc.): H-10 DB-3 with 1 line in and 2 lines out in good condition. Some solids carryover. Cover 28"below grade No sign of overloading or hydraulic failure. Pump Chamber(locate on site plan): Pumps in working order. ❑ Yes ❑ No* Alarms in working order. ❑ Yes ❑ No* Comments(note condition of pump chamber, condition of pumps and appurtenances,etc.): *If pumps or alarms are not in working order,system is a conditioonal pass. Soil Absorption System(SAS)(locate on site plan,excavation not required): If SAS not located, explain why: t5ins•W3 Title 5 OftW ftpecbon Form Subsurface Sewage Diposal System•Pap 12 of 17 Commonwealth of Massachusetts IMP Title 5 Official Inspection Form Bwwomwq Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 2179 Sedrvice Rd.West Barnstable,MA 02668 Property Address John Mitchell PO Box 83 Owner Owner's Name rnOmatiOis O required for every West Barnstable MA 02668 4/2812015 iW. city/Town state Zip Code Date of inspection D. System Information (cunt.) Type: ❑ leaching pits number. ® leaching chambers number. 2 ❑ leaching galleries number. ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovativelaltemative system Type/name of technology: Comments(note condition of soil, signs of hydraulic failure, level of ponding, damp soil,condition of vegetation, etc.): 2-500 Gal Chambers in a 25'x13.2x2x Trench configuration. 5"of standing effluent in chambers at time of inspection. No sign of overloading or hydraulic failure. 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•3H 3 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 f Commonwealth of Massachusetts mo Title 5 Official Inspection Form Subsurface Sewage Disposal System form-Not for Voluntary Assessments 2179 Sedrvice Rd.West Barnstable, MA 02668 Property Address John Mitchell PO Box 83 Owner Owner's Name rrdOm'dOn is West Barnstable required for every MA 02668 4/28l2015 Pap- Citylrown State Code Date of Inspection D. System Information (cost.) Comments(note condition of soil, signs of hydraulic failure, level of ponding,condition of vegetation, 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.): t5iris-3113 Title 5 Official heron Form:Subswface Sewage Dish System.Page 14#17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System form-Not for Voluntary Assessments 2179 Sedrvice Rd.VJest Barnstable, MA 02668 Property Adder John Mitchell PO Box 83 Owner Owner's Flame information is West Barnstable MA 02668 4/28/2015 required for everts page- Cihdrown Zip Code Date of Inspection t�9e D. System Information (cunt.) 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 t5hs•3H3 Title 5 Ofioal inspectim Form:Subsurface Sewage Disposal system-Page 15 of 17 L f - Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 2179 Sedrvice Rd.West Barnstable, MA 02668 Property Address John Mitchell PO Box 83 Owner Owner's Naive require fb is West Barnstable MA 02668 4/28/2015 page- for every cityrrown State �Code Date of Inspection Pam• D. System Information (cunt.) Site Exam: ® Check Slope ® Surface water ® Check cellar ® Shallow wells Estimated depth to high ground water. +1 V feet Please indicate all methods used to determine the high ground water elevation: ® Obtained from system design plans on record If checked,date of design plan reviewed: 2001 Date ❑ Observed site(abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health-explain: ❑ Checked with local excavators, installers-(attach documentation) 11 Accessed USGS database-explain: You must describe how you established the high ground water elevation: Test hole data per plan on file at BOH. Test hole to I T with no groundwater encountered. Bottom of leaching at T. Minimum of 4'separation. Before filing this Inspection Report,please see Report Completeness Checklist on next page. t5ins•313 ride 5 OtfieW kwpedon Form:SubsurWa Sew Doosal System-Page 16 of 17 Commonwealth of Massachusetts Title 5 Official inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 2179 Sedrvice Rd.West Barnstable, MA 02668 Property Address John Mitchell PO Box 83 Owner Owner's Name information is West Barnstable MA 02668 4/28/2015 required for every stew Zip Code Date of Inspection pW. City/TownE. Report Completeness Checklist • Inspection Summary:A, B, C, D,or E checked • Inspection Summary D(System Failure Criteria Applicable to All Systems)completed • System Information—Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins,3M3 Title 6 Official kmpecbon Forge Subsurface Sewage Disposal System-Page 17 of 17 i TOWN OF-BARNSTABLE LOCATION 179 �S,V1CP_ 6� SEWAGE #'Ot t-•I5f I VIU AGE _C�; _ ASSESSOR' MAP&LyT 6ri INSTALLER'S NAME&PHONE N6. 11 off€ 33"�t SEPTIC TAN CAPACITY ° LEACHING FACILITY: (type) 5U_ U [.a '°—^—G '" '(size) �� XIS lX1 r NO.OF BEDROOMS BUILDER OR,.OWNER bo +I �� PERMITDATE:� �.tQ 'Ot COMPLIANCE DATE: ? 7 U Separation Distance Between the: ( Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist Feet within 300 feet of leaching facility) Furnished by ` I " �0A,1� �3 v S Li a S /�•wh4� 1 I _ CERTIFICATE OF ANALYSIS Page: 1 i0 Barnstable County Health Laboratory Report Prepared For: Report Dated: 2/21/2007 Kim Mitchell Order No.: G0739595 P.O. Box 83 W. Barnstable, MA 02668 i Laboratory ID#: 0739595-01 Description: Water-Drinking Water Sample#: Sampling Location: 2179 Service Rd.W.Barnstable,MA Collected: 2/20/2007 Collectee by: K.Mitchell Received: 2/20/2007 Routine ITEM RESULT UNITS RL MCL Method# Analyst Tested Note j Nitrate as Nitrogen 3.7 mg/L 0.10 10 EPA 300.0 LAP 2/20/2007 Copper 0.19 mg//L 0.10 1.3 SM 31 11 B LAP 2!21/2007 Iron ND mg/L 0.10 0.3 SM 3111E LAP 2/21/2007 i Sodium 13 mg/L 1.0 20 SM 3111B LAP 2/21/2007 Total Coliforr� Absent P/A 0 0 SM9223 AF 2/20/2007 Conductance 83 umohs/cm 2.0 EPA 120.1 DCB 2/20/2007 pH 6.1 pH-units 0 EPA 150.1 DCB 2/20/2007 Water samFle meets the recommended limits for drinking water of all the above tested parameters. Approved By:-.- (Lab ctor) ND=None Detected RL = Reporting Limit MCL=Maximum Contaminant Level Superior Court House, PO.Box 427, Barnstable, MA 02630 Ph: 508-375-6605 • CERTIFICATE OF ANALYSIST0-248202,-OPyA,,� Barnstable County Health Laboratory Report Dated: 11/25/2002 Report Prepared For:Bayberry Building Co.Inc. Order Number: At 7 r, Jaques Morin y�cr�' C 1597 Falmouth Rd.—Suite 4---" CCenterville,-MA 02632 Laboratory ID#: 0218222-01 Description: Water-Drinking Water Sample#: 1822201 Sampling Location:C2179,Service lid.-West Barnstable Collected 11/20/2002 Collected by: E Meehan Received 11/20/2002 Routine ITEM RESULT UNITS MDL MCL Method# Tested LAB: IC Lab Nitrates 0.1 mg/L _ 0.1 10 EPA 300.0 11/20/2002 LAB: Metals Copper 0.2 mg/L 0.1 1.3 SM 311113 11/21/2002 Iron 0.1 mg/L 0.1 0.3 SM 311113 11/21/2002 Sodium 19 mg/L 1.0 20 SM 3111B 11/21/2002 LAB: Microbiology Total Coliform Absent P/A 0 Absent P/A 11/20/2002 LAB:Physical Chemistry Conductance 127 umohs/cm 1 EPA 120.1 11/21/2002 pH 6.3 pH-units 0 EPA 150.1 11/21/2002 Note: Water sample meets the recommended limits for drinking water of all above tested parameters. Superior Court House, PO.Box 427, Barnstable, MA 02630 Ph: 508-375-6605 Page. 2 CERTIFICATE OF ANALYSIS Barnstable County Health Laboratory ..,sgCttti�/ Report Prepared For: Report Dated: 11/25/2002 Bayberry Building Co.Inc. Order Number: G0218222 Jaques Morin 1597 Falmouth Rd. Suite 4 Centerville, MA 02632 Laboratory ID#: 0218222-02 Description: Water-Drinking Water Sample#: Samplin¢Location: 2179 Service Rd West Barnstable Collected 11/20/2002 collected by: Customer Received 11/20/2002 EPA 524.2-Volatile Organics by GUMS ITEM RESULT UNITS MDL MCL Method# Tested LAB: GUMS 1,1,1,2-Tetrachloroethane BRL ug/L 0.5 EPA 524.2 11/24/2002 1,1,1-Trichloroethane BRL ug/L 0.5 200 EPA 524.2 11/24/2002 1,1,2,2-Tetrachloroethane BRL ug/L 0.5 EPA 524.2 11/24/2002 1,1,2-Trichloroethane BRL ug/L 0.5 5.0 EPA 524.2 11/24/2002 1,1-Dichloroethane BRL ug/L 0.5 EPA 524.2 11/24/2002 1,1-Dichloroethene BRL ug/L 0.5 7.0 EPA 524.2 11/24/2002 1,1-Dichloropropene BRL ug/L 0.5 EPA 524.2 11/24/2002 1,2,3-Trichlorobenzene BRL ug/L 0.5 EPA 524.2 11/24/2002 1,2,3-Trichloropropane BRL ug/L 0.5 EPA 524.2 11/24/2002 1,2,4-Trichlorobenzene BRL ug/L 0.5 70 EPA 524.2 11/24/2002 1,2,4-Trimethylbenzene BRL ug/L 0.5 EPA 524.2 11/24/2002 1,2-Dibromo-3-chloropropa BRL ug/L 0.5 EPA 524.2 11/24/2002 1,2-Dibromoethane(EDB) BRL ug/L 0.5 EPA 524.2 11/24/2002 1,2-Dichlorobenzene BRL ug/L 0.5 600 EPA 524.2 11/24/2002 1,2-Dichloroethane BRL ug/L 0.5 5.0 EPA 524.2 11/24/2002 1,2-Dichloropropane BRL ug/L 0.5 EPA 524.2 11/24/2002 1,3,5-Trimethylbenzene BRL ug/L 0.5 EPA 524.2 11/24/2002 1,3-Dichlorobenzene BRL ug/L 0.5 EPA 524.2 11/24/2002 1,3-Dichloropropane BRL ug/L 0.5 EPA 524.2 11/24/2002 1,4-Dichlorobenzene BRL ug/L 0.5 5.0 EPA 524.2 11/24/2002 2,2-Dichloropropane BRL ug/L 0.5 EPA 524.2 11/24/2002 2-Chlorotoluene BRL ug/L 0.5 EPA 524.2 11/24/2002 4-Chlorotoluene BRL ug/L 0.5 EPA 524.2 11/24/2002 Superior Court House, PO.Box 427, Barnstable, MA 02630 Ph: 508;375-6605 4 pF IiAR Page: 3 CERTIFICATE OF ANALYSIS ys Barnstable County Health Laboratory ,7srnctn�5��•`l Report Prepared For: Report Dated: 11/25/2002 Bayberry Building Co.Inc. Order Number: G0218222 Jaques Morin 1597 Falmouth Rd. Suite 4 Centerville, MA 02632 Laboratory ID#: 0218222-02 Description: Water-Drinking Water Sample#: Sampling Location: 2179 Service Rd West Barnstable Collected 11/20/2002 .ollected by: Customer Received 11/20/2002 Benzene BRL ug/L 0.5 5.0 EPA 524.2 11/24/2002 Bromobenzene BRL ug/L, 0.5 EPA 524.2 11/24/2002 Bromochloromethane BRL ug/L 0.5 EPA 524.2 11/24/2002 Bromodichloromethane 0.5 ug/L 0.5 EPA 524.2 11/24/2002 Bromoform BRL ug/L 0.5 EPA 524.2 11/24/2002 Bromomethane BRL ug/L 0.5 EPA 524.2 11/24/2002 Carbon tetrachloride BRL ug/L 0.5 5.0 EPA 524.2 11/24/2002 Chlorobenzene BRL u€/L. 0.5 100 EPA 524.2 11/24/2002 Chloroethane BRL ug/L 0.5 EPA 524.2 11/24/2002 Chloroform 77 ug/L 0.5 EPA 524.2 11/24/2002 Chloromethane 0.8 ug/L 0.5 EPA 524.2 11/24/2002 cis-1,2-Dichloroethene BRL ug/L 0.5 70 EPA 524.2 11/24/2002 cis-1,3-Dichloropropene BRL ug/L 0.5 EPA 524.2 11/24/2002 Dibromochloromethane BRL ug/L 0.5 EPA 524.2 11/24/2002 Dibromomethane BRL ug/L 0.5 EPA 524.2 11/24/2002 Dichlorodifluoromethane BRL ug/L 0.5 EPA 524.2 11/24/2002 Ethylbenzene BRL ug/L 0.5 700 EPA 524.2 11/24/2002 Hexachlorobutadiene BRL ug/L 0.5 EPA 524.2 11/24/2002 Isopropylbenzene BRL ug/L, 0.5 EPA 524.2 11/24/2002 Methyl-tert-butyl ether BRL ug/L 2.0 EPA 524.2 11/24/2002 Methylene chloride BRL ug/L 0.5 5.0 EPA 524.2 11/24/2002 n-Butylbenzene BRL ug/L 0.5 EPA 524.2 11/24/2002 n-Propylbenzene BRL ug/L 0.5 EPA 524.2 11/24/2002 Naphthalene BRL ug/L 0.5 EPA 524.2 11/24/2002 p-Isopropyltoluene BRL ug/L 0.5 EPA 524.2 11/24/2002 sec-Butylbenzene BRL ug/L 0.5 EPA 524.2 11/24/2002 Styrene BRL ug/L, 0.5 100 EPA 524.2 11/24/2002 Superior Court House, PO.Box 427, Barnstable, MA 02630 Ph: 508-375-6605 A �= CERTIFICATE OF ANALYSIS Page: 4 jG [fl Barnstable County Health Laboratory �9`rsnctrit5�^� Report Preaared For: Report Dated: 11/25/2002 Bayberry Building Co.Inc. Order Number: G0218222 Jaques Morin 1597 Falmouth Rd. Suite 4 Centerville, MA 02632 Laboratory ID#: 0218222-02 Description: Water-Drinking Water 'Sample#: Sampling Location: 2179 Service Rd West Barnstable Collected 11/20/2002 collected by: Customer Received 11/20/2002 tert-Butylbenzene BRL ug/L 0.5 EPA 524.2 11/24/2002 Tetrachloroethene BRL ug/L 0.5 5.0 EPA 524.2 11/24/2002 Toluene BRL ug/L 0.5 1000 EPA 524.2 11/24/2002 Total xylenes BRL ug/L 0.5 10000 EPA 524.2 11/24/2002 trans-1,2-Dichloroethene BRL ug/L 0.5 100 EPA 524.2 11/24/2002 trans-1,3-Dichloropropene BRL ug/L 0.5 EPA 524.2 11/24/2002 Trichloroethene BRL ug/L 0.5 5.0 EPA 524.2 11/24/2002 Trichlorofluoromethane BRL ug/L 0.5 EPA 524.2 11/24/2002 Vinyl chloride BRL ug/L 0.5 2.0 EPA 524.2 11/24/2002 Note: Approved By: (Lab Director) 0 7— Superior Court House, PO.Box 427, Barnstable, MA 02630 Ph: 508-375-6605 .�. ". 4 e= � 150.00 SEPT�c EklBt,ing Concrete Founds Uon s 84.6 P(ZOPOSCfl Zo„r F���CF R��Gl�^CES m W s � SLOT 4 55,69B sq.A 25�'14 GWMC SCALE tamer) Ibe•• 4o �. Plot Plan of Land In M Ef1 West Barnstable, Messaob use tts r Pm red For Be berr Build G Pe .Y •eY � company Inc. J. o%0- fe�ao�rant the strr�oluraa *Ad= an the plan er thel �S Ants: PJVAURMd B1: iftkhw A AD is and AMA"tw Loous Not In A Flood Hazard Zone. 4e tat na La A ntb Jhwwa bumtte a&w pn�oaar/�*a-,east ZB -qqv,; No.- a002:�6_ Fee---�-- BOARD OF HEALTH TOWN OF BARNSTABLE Application-for Vell Con5trurt ion Permit Application is hereby made for a permit to Construct (�, Alter ( ), or Repair ( )an individual Well at: Location — Address Assessors Map and Parcel Owner _ Add ss installer — Driller Address �—— Type o_ 1' ind g ----, Dwellin ---- -- ----------- Other - Type '�offBBuilding-= —_____ No. of Persons----------_�__�—_______ Type of Well__�""� aka _--- Capacity-------------------- Purpose of Well---_-- --- — Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town or Barnstable Board of Health Private Well Protection Regulation - The undersigned further agrees not to place the well in operation until a Certificate Af Compliance has been issued by the Board of Health.. Signed , c Gee- {� date Application Approved By—III+-- --___— ate Application Disapproved for the following reasons: ------------- _____ —_—___—_ date -- Permit No. W U 0 a — Issued 7 ��` ------- --- ------ date BOARD OF HEALTH TOWN OF BARNSTABLE C ertif irate Of Compunce THIS IS TO CERTIFY, That the Individual Well Constructed ( ), Altered ( ), or Repaired ( ) by--- —- — ---- Installer --� a t--a l:7 1 ASP n.,[p er---1AJ gH i n.C4 r� -- -- ---has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit No. Dated THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE Inspector " �b x No.- ----------- Fee--- ---------------- BOARD OF HEALTH TOWN OF BARNSTABLE Zipptication fforVell CootructionPermit Application is hereby made for a permit to Construct (,*-t Alter ( ), or Repair ( )an individual Well at: Location — Address Assessors Map and Parcel Owner Address Z,�J// �N ----------42 8 °�>oS � ¢ --------- Installer — Driller Address Type of g /�Dwellin Other - Type of Building --____ No. of Persons--- Type of Well �� i� -- Capacity--------- Purpose of Well- -- Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private Well Protection Regulation - The undersigned further agrees not to place the well in operation until a Certificate of Compliance has been issued by the Board of Health. Signed-� date ---- �.- Application Approved By � - —_— /07 0 V � — date Application Disapproved for the following reasons: ---------- —_ —_ — —-----—— —', date --- Permit No. 1n1 Issued date �'' date BOARD OF HEALTH TOWN OF BARNSTABLE Certificate Of Compliance THIS IS TO CERTIFY, That the Individual Well Constructed ( ), Altered ( ), or Repaired ( ) by--- -- --- ---- -—----- —--—-- --------- ----- S_ pCL,Cc ,/ p Installer --- has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit No.�^!�GV?�- '—Dated THEISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE---- - —- Inspector--_- - - - _-_---------— - BOARD OF HEALTH TOWN OF BARNSTABLE Yell Con5truct ion Permit Fee-9S=______w Permission is hereby granted to Construct ( ), Alter ( ), or Repair ( ) an Individual Well at: No. sp rI u�41 Street T as shown on the application for a Well Construction Permit No.- 1- fl Q Date — ©? --- -- -------------- DATE - t - �y �/� Board of Health —�_— __ tNOV-25-2002 14:04 15083627103 15083627103 P.02 p'4 llj CERTIFICATE OF ANALYSIS Page_ 1 CHU Barnstable County Health Laboratory Reuort Preaared For: Report Dated: 11252002 Bayberry Building Co.Inc. Order Number: G0219222 Jaques Morin 1597 Falmouth ltd Suite 4 Centerville, MA 02632 Laboratory m#:_ 0218222-01 _ Deacriptloa: water-Drinking water Y Sample#: 182220I Ramoliue Loeatiaa: ;E17 SService Rd Wcat Baraatable '� Collected 11MMM Collected by: g Meehan Received 11/20/1002 Routine ITF,M RESULT UNITS MDL MCL Method Tested LAMB: IC Lub Nitrates 0.1 mWL. 0.1 10 EPA300.0 11/202002 LAB:Metals Copper 0.2 MWL 0.1 1.3 SM 3111B 1121/2002 Iron 0.1 mg/L 0.1 0.3 SM 3111B 11/212002 Sodium; 19 InOt 1.0 20 SM 31118 11n1n002 LAB:1161efobloloV Total C'Oliform Absent P/A 0 Absent P/A 11202002 LAB:Physical Chemistry Conductance 127 umowcm I 8PA 120.1 11/212002 PH 6.3 PH-units 0 EPA 150.1 11/212002 Note: Water sample meets the recommended limits for drinking water of all above tested parameters. Superior Court Flonse, PO.Box 427, Barnstable, MA 02630 Ph:509-375-005 f NOV-25-2002 14:05 15083627103 15083627103 P.03 4 pF CERTIFICATE OF ANALYSIS P°� z y Barnstable County Health Laboratory Re art Pre aced For: Report hated: 11252002 Bayberry Building Co.Inc. Order Number: G0218222 Jaques Morin 1597 Falmouth Rd. Suite 4 Centerville, MA 02632 laboratory M#: 0218222-02 Description: Water-Drinking Water sample _ Sampling Location: 2179 Service Ad West Barnstable Collected 11120r 1 ,olleeted by: Customer Received 11/10RO112 EPA 524.2- Volatile Organics by GUMS rrEM RESULT UNITS MDL MCL Met6Qd# Tc LAD: GONS 1,1,1,2=Tetrachloroethane BRL ug/L O.5 EPA 524.2 1124/2002 1,1,1-Trichloroethane BRL ug/L 0.5 200 EPA 524.2 1124/2002 1,1,2,2-Tetrachloroethane BRL U91L 0.5 EPA 524.2 11/24/2002 1,1,2-Trichloroethane BRL ug/L 0.5 5.0 EPA 524.2 11/24/2002 1,1-Dichlomethanc URL ug/L 0.5 EPA 5242 11242002 1,1-Dichloroethene BRY. ugh. 0.5 7.0 EPA 524.2 11/24/2002 1,1-Dichloropropene BRL ug/L 0.5 EPA 524.2 11/24/2002 1,2,3-Trichlorobenzene BRL ug/L 0.5 EPA 524.2 11/24/2002 1,2,3-Trichloropropane BRL u8/L 0.5 EPA 524.2 11/242002 1,2,4-T'richlorobenzene BRL up)L 0.5 70 EPA$24.2 11/24/2002 1,2,4-Trimethylbenzene BRL ug/L 0.5 EPA 524.2 11242002 1,2-Dibromo-3-chloropropa BRL ug/L 0.5 EPA 524.2 11/24ROo2 1,2-Dibromoethane(EDB) BRL ug/L 0.5 EPA 524.2 11/242002 1,2-Dichlorobenzene BRL ug/L 0.5 600 EPA 524.2 11/2402002 1,2-Dichloroethene BRL u911 0.5 5.0 EPA 524.2 11124/2002 1,2-Dichloropropane BRL ug/L 0.5 EPA 524.2 11/24/2002 1,3,5-Trimethylbenzene BRL a6/L 0.5 EPA 524.2 11/242002 1,3-Dichlorobenzene BRL UWL 0.5 EPA 524.2 11/242002 1,3-Dichloropropane BRL WL 0.5 EPA 524.2 1 i/24noo2 1,4-Dichlorobenzene BRL ug/i. 0.5 5.0 EPA 524.2 11242002 2,2-Dichloropropane BRL ug/L 0.5 EPA 524.2 11242002 2-Cblorotaluene BRL ug/L 0.5 EPA 524.2 11242002 4-Chlorotoluene BRL ug/L 0.5 EPA 5242 1 l/24/2002 Superior Court House, PO.Box 427, Barnstable, MA 02630 Ph: S08-375-6605 NOV-25-2002 14:05 15083627103 15083627103 P.04 CERTIFICATE OF ANALYSIS page: 3 ¢ Barnstable County Healtb Laboratory AC11 Report Prepared For: Report Dated: 11/252002 Bayberry Building Co.Inc. Order Number: G0218222 Jaques Morin 1597 Falmouth Rd. Suite 4 Centerville, MA 02632 Laboratory ID#: 0218222-02 aMernNinn: Water-Drinking Water Sample#: Ssmaliae Locadon: 2179 Service Rd West Barnstable Collected I12O2002 Zollected by: Customer Received 11202002 Benzene BRL ug/I, 0.5 5.0 EPA 524.2 11/24/2002 BrOmobenzene BRL UWL 0.5 EPA$24.2 11/24/2002 Bromochloromethane BRL uSIL 0.5 EPA 524.2 11242002 Bromodichloromethane 0.5 ug/L 0.5 EPA524.2 11n42002 Bromoform BRL ug/L 0.5 EPA 524.2 111242002 Bromomethane BRL ugR. 0.5 EPA 524.2 11n42002 Carbon tetrachloride BRL ug/L 0.5 5.0 EPA 524.2 11/242002 Chlorobenzene BRL U911, 0.5 100 FPA 524.2 11n412002 Chloroethane BRL ug/L 0.5 EPA 524.2 11/24/2002 Chloroform 77 ug/L 0.5 EPA 524.2 1124a002 Chloromethane 0.8 ug/L 0.5 EPA 5242 11242002 cis-1,2-Dichlorcethene BRL uWL O.s 70 EPA 5242 11242002 cis-1,3-Dichloropropene BRL ug/L 0.5 EPA 524.2 11n42002 Dibromochloromethane BRL ug/I, 0.5 EPA 524.2 1124/2002 Dibromomethane BRL uwL 0.5 EPA 524.2 u2a12002 Dichlorodifluoromethane BRL ug/L 0.5 EPA 524.2 11124/2OD2 Ethylbenzene BRL ug/L 0.5 700 EPA 524.2 11242002 Hexachlorobutadiene BRL ug/L. 0.5 EPA 5241 11/242002 hopropylbenzenc BRL ug/L 0.5 EPA 524.2 11242002 Methyl-tert-butyl ether BRL ug/L 2.0 EPA 524.2 11/24n002 Methylene chloride ORL ug/L 0.5 5.0 EPA 5242 11/242002 n-Butylbenzene BRL ug/L 0.5 F,PA 524.2 11242002 n-Propylbenzene BRL ag/L 0.5 EPA 524.2 112V2002 Naphthalene BRL urrt, 0.5 EPA 524.2 11n42002 p-Isopropyltoluene BRL 11A 0.5 EPA 5242 ►I/z42002 .sec-Butylbenzenc BRL ug/L 0.5 EPA 524.2 1124/2002 Styrene BRL 41- 0.5 100 EPA 524.2 1124/2002 Superior Court House, PO.Box 427, Barnstable, MA 02630 Ph:50"75-6605 NOU=25-2002 14:05 15083627103 15083627103 P.05 CERTIFICATE OF ANALYSIS Page: 4 ¢'rs Barnstable County Health Laboratory Iteoort Prepared For: Reiff Dated: 11/25/2002 Bayberry Building Co.Inc. Order Number: G0218222 Jaques Morin 1597 Falmouth Rd. Suite 4 Centerville, MA 02632 Laborawa w#: 0218222-02 Deser:ntionc Water-Drioldog Water sample 9: Safffiging tmation: 2179 Service Rd West Barnstable Collected 11/20/2002 Collected by: Customer Received 11120/20M tent-Butylbenzene BRL ug/L 0.5 EPA 524.2 11/2412002 Tetmehloroethene BRL ug/L 0.5 5.0 EPA 524.2 11/24/2002 Toluene BRL uWL 0.5 1000 EPA 5242 11/24/2002 Total xylenes BRL ug/i. 0.5 10000 EPA 5242 11/24/2002 trans-1,2-Dichloroethene $RL UIX 0.5 too EPA 524.2 11/24/2002 trans-1,3-Dichloropropene BRL ug/L 0.5 EPA 524.2 11/24/2002 Trichloroethene BRL ugAL 0.5 5.0 EPA 5242 11/24/mo2 TrichloroAuoromethane BRL ng/L 0.5 EPA 5242 11/24/2002 Vinyl chloride BRL ug/1. 0.5 2.0 EPA 5242 11174/2o02 Note: Approved By: _ -- (Lab Director) f Superior Court House, PO.Box 427, Barnstable, MA 02630 Ph:50&375-6605 TOTAL P.05 f NOV-25-2002 14:04 15083627103 r 15083627103 P.01 FA NTY COC P.O. BOX 4 ,BA ti4 r CC. +JAI- - �Y.]r fit: I ( L .juC��'vff3 i TOWN >_OF BARNSTABLE LOCATION2 �79 ���-i ��•CX. SEWAGE #�C0I -�1— VILLAGE - ASSES'SOR' A&SLOT IQ INSTALLER'S NAME&PHONE N0. I SEPTIC TAN CAPACITY o bit, LEACHING FACILITY: (type) "� U [.H.��un C(%�`� (size) la Xas /X > —97 NO.OF BEDROOMS 3 BUILDER OR.OWNER-? '� D I PERMITDATE:J � �n COMPLIANCE DATE: -7 7 U Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility (If any wetlands exist within 300 feet of leaching facility) Feet Furnished by j - Q I P0A,1r IS Z _ 3 � 1 10 TOWN OF BARNSTABLE LOCATION, �7% .1rJG�� SEWAGE #2001 . 15 VILLAGE JI►V . SI RUC. MA&SLOT ASSESSOR' yi INSTALLER'S NAME&PHONE NO. ?!A SEPTIC TANK CAPPACITITY bo jj LEACHING FACILITY: (type) UU GHlla� C[�.�,�r�(size) /� Xas �1C1 f NO.OF BEDROOMS r BUILDER OR OWNER �t �1 PERMITDATE:3 { In ' oI COMPLIANCE DATE: I7 U2 T Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by � I l I' A ti p o S uil Q/a S,C•C -,C�—6e.s ��. C No. '� I D , s Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes ' PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 01pprication for Migoal *p5tem Construction Permit Application for a Permit to Construct(''epair( )Upgrade( )Abandon( ) El Complete System ❑Individual Components \i Location Address or Lot No. �,, n-�' (� Owner's Name,Address and Tel.No. 2 1 7 9 (Z:37 �1 AAft-7r's Map/Parcel —���vas NA J Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.`N^o'.�/ STD'P, 7 i 11 J e DOYLE rc >('OC U J 4 bury L T ZLt Type of ' ing• L � Telephone: 508/540-2�3� wellin No.of Bedrooms _ Lot Size SS0 b sq.ft. Garbage Grinder ) Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 3�7 0 gallons per day. Calculated daily flow S gallons. Plan Date em- Z(o_O\ N tuber of sheets Revision Date Title 1?i.YamV ,�►3 p-I.ksTl���� 15 o C1 !A2Mcvtl7N.L Ts�D C.0 Size of Septic Tank L�'0'O Ul.k Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to e e the construction and maintenance of the afore described on-site sewage disposa m in accordance with the provisions o T le 5 of the Environmental d nd not pl e th/ er}� It operati til - cate of Compliance has been issued o e Signed D a Application Approved b D to Application Disapproved for the ollowing reasons 2Oo ( — Date Issued l6 d - --------------------------- No. r_,- [1 I I I $ ,wt ;¢ J Fee ✓ �. "—Entered in computer: L/ THE'COMMONWEALTH OF MASSACHUSETTS Yes PUBLIC HEALTH DIVISION-TOWN OF BARNSTABLES MASSACHUSETTS ��ti•a t �: , 2pprication for �Digpogar ruction permit Application for a Permit to Construct(Ky,pair( }Upgrade( )Abandon( ) ❑Compllette System ❑Individual Components VLocation Address or Lot No. L Owner's Name,Address and Tel.No. Assessor's Map/ParcelPA"7- or �36-1. 61L- u (i es rA D _ Installer's Name,Address,and Tel.No. v� (�f �(� Designer's Name,Address and Tel.No. 1 S ;nW Je DOYLE r,.-bury Lajt_ `i,.j;,:�outh m7, btf Type of wilding: Telephone: 5 0 8/5 4 0-2! 3 4 { welling. No.of Bedrooms 3 Lot Size �S 6 sq.ft. Garbage Grinder( ) Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow S gallons. Plan Date 0L- Z(0—©\ N�{mber of sheets Revision Date Title 5\T l_ 7L o NA �l w Size of Septic Tank 1 N''C,O Zf WL Ol.k Type of S.A.S. CN N-"\ Description of Soil 5r�—t= S�T�' ��W y S�\�. L,�u IL S A Nature of RepLrs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees toe a the construction and`maintenance of the afore described on-site sewage disposa y-S m x .. in accordance with the provisions o Tr e 5 of the Environmental- deg nd not to pl e th ystem i, operati til r- Cate of Compliance has been issued o d_of.Hea t Signe D Application Approved b D to 2 R Application Disapproved for the ollowing reasons Permit No. 2 00 l rJ I Date Issued 3 16 d/ THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( )Repaired( )Upgraded( ) Abandoned( )by G n a,-'es 1-�)0 Cc," at L---+ t/ i v p,,L� (iV ocri or,-,, _t•,A v t,�a��� has been constructed in accordance with the provisio s of Title 5 and the for Disposal System Construction Permit No. r9DUI- IS I dated Installer 1 01 yM or Designer The issuance =f this permit shall not be construed as a guarantee that the system,will f(rnction as A*n d. Date Inspector �J N W 1 l --------------------------------------- No. �d I I Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS lwigogaf *pgtem Construction Vermit Permission is hereby granted to Construct( )Repair( )Upgrade Abandon( ) System located at t'o-/ I 1�'t AQ c-�C§_ �?CO. �CL .y and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this permit. Date: / 41)10 ► Approved by ---- f Proposed 12' 6" ft 35.57 ft2 Bathroom Kitchen 60.00 ft2 .00 f 2 Bedroom 351.00 ft2 143.00 ft2 Living Room 14.43 ft2 a-. 273.00 ft2 42.00 ft2 r- N S 10' 0" ft 30.00 ft2 Living room Bedroom 273.00 ft2 232.33 ft2 20' 0" ft 5. Front L Y � al Original 12' 6" ft 35.57 ft2 Bathroom s Kitchen 60.00 ft2 0.00 ft Bedroom 351.00 ft2 143.00 ft2 Garage 14.43 ft2 co 273.00 ft2 �- 42.00 ft2 CN 10' 0"ft 30.00 ft2 Livingroom Bedroom 273.00 ft2 232.33 ft2 e 20' 0" ft 5 Front ------------ O O T, �s -f-z 2" of 118" - 1/2".Peastone TOP t "D. EL .A:` Eor rg n. dv r n - Al , Trench Adth a•�•Z, r^_Aj_4'W%%V' t� ._ way rta� covex .¢ - es a ruse one 3/ " 1 1/2" W h d Crushed Stone ' • fGtQl �"!'EllCll jor�gtl2 ---�— ��y+/y'��7/may �/�• INV. EL e o \ (`�_ `._.f ( 31,4 - 1••-1 e Tfasbed Crushed Stone ! PROPOS'.ED S.A.S. TRENCH .�_ Fl.OW UNE S4:oo INV. EL.Ur W LOM a POO ao SUW 83,s O s � ,r E'1. - � a n o EL 11 INV. EL. eq.za $ INV. EL. ",IDD No. of Trenches No. of SQO Gallon Precast Chambers 4" -- 1--1 2" 'Washed Crushed Stone a .> �- PRECAST REINFORCED CONCRETE 3` / Tt of P . DISTRIBUTION BOX ,lL� edge 1500 GALLON PRECAST REINFORCED CONCRETE SEPTIC TANK REPLACE SOILS NOTE. INSTALL ON A LEVEL BASE ' MINI" CONSTRUCIM MATERIALS PER 310CUR 15.226(2) MINIMUM WALL THICKNESS = 2N REMOVE LINSLTITABLE SOILS' FIVE' FEET LAT.ERALY ;• , IN ALL DIRECTIONS BEYOND THE OUTER PERIMETER - spent � ,... 110 T �S S WL BE CON C"M OF SCI? MOLE 40 PVC AND MINIMUM INSIDE DIMENSION = 12" --r- OF THE.SOIL ABSORBTION SYSTEM TO THE DEPTH OFje> - +--' tilltp Ea � �:: •� �� ' 108 • SHALL EX7END A I�Mitllri OF.tB" ABOVE Tim FLOW LINE .• r' at� Of 1W 9EPTtC TAW AND 8E ON THE CENIER INE of THE OUTLET INVERTS SHALL BE EQUAL to Each NARY OCCURWG P�RVlOIIS MAC AS REQUIRED a -,r and U 5 � � SEPW TANK LOCA7ED DIRECTLY UNDER THE CLEAN-OUT OTHER AND AT 2 MINIMUM BELOW INLET INVERT. BY 370C G? 15.R40 AND R.ELACE WITH CLEAN GRAFVLAR of rY,,' d Access 2g7•� MANHOLE. SAND, TREE FROM• ORGANIC MATTER AND DELETRIOUS - ose , ::::. ,p ,, •• .::• 0 WATER HE DISTRIBUTION LINES FROM THE DISTRIBUTION BOX ede.-'-'' p j�6t 106 SHALL ALL HAVE EQUAL INVERTS AS DETERMINED BY FLOODING SUBSTANCES. 10s . . ..,� osed ,� TovuER SHOOT FLYING RD.. 7FE NrLlE:T PIPE ELEVATfON .SHALL BE No >tEss THAN 2 NOR -- -�- • .• �P �r 1+i0RE THAN 3" A84Vl� TIC T ELE1►ATIC)N, OF T} THE DISTRIBUTION BOX TO THE HEIGHT OF THE DISTRIBUTION - ,' r---'- � : ' G811o� OUTLET' PIP£. LINE INVERT AFTER ALL LINES HAVE BEEN SEALED IN PLACE. fps •- INVERT ADJUSTMENTS SHALL BE MADE BY FILLING WITH DURABLE • AND NON-REFORMABLE MATERIAL PERMANENTLY FASTEND 70 THE ;•-'''- ,,.. .- ---"- 100- .... *� .... -�"-' - " �' 5£FTIC TANK 5HALlr BE INSTALLED LEVF1. AND TR1JE TO GRADE LINE OR RECONSTRUCTING THE LINES UNTIL ALL INVERTS ARE OF ale--''' .QO --- ' 65 : =�: ''_ �" CAS ON A LEVEL. STMM BASE 7MAT HAS BEMN MEC HAMCALLY EQUAL ELEVATION. �?-''- Igo .- � % ' 4: r _ 1 ` � T COWACTE73 AND ON 70 *iM SIX tNt tES OF.CRUSMED STONE Of '" -- '- - ' , - - - - - - j0D >~us t�,AadD To ENstIRE sTAeam Attu PREVENT edge'`---r- 120 11`� ,-; = .g8t'._-'"r _ 98 ToT 5 _ 116 - . r - :�:; :;; �'::: _ _ _ - L LOCUS MAP SCALE: 1" 20o0' SE7Tt�tG .- _ _ _ 96 _ - 9s .f� SEPTIC TAW SHALL HAVE A I�tJtitMM 0DVM OF Sm. Note: 1 � ' 108 . g8 g6 � � ,' 94, -- � -" _ ��, _ � 57, �\ *01 � 12 I10 , 102 � ' _.- '"�--�I 94 �"` l'�'`-7, 86 � - 7NRfE 20 N ;iM. Y RD�iOV IMPERMEABLE Should soils be encountered during sewage system installation that are ,r f 1 / le ,'' ,r ' r- - o Cow OF OUR _ .x. � WITH ACCESS not consistent with soil to ,contact the deli er and/or our local p 00 i i / . / p4 �►: e POFtTs Pi.ACEo A`r �' g y 5 • , ' ' / 1 Prof°s�� s ,.�'1604 , t 92 8� �0 - ov�k TllE INLET' AND .-' 1 i i / •, • oU7tET 7EES Health Department before proceeding. i i 79 sad 2 • q r i / M , 1 �0 - � ' ' �� �� ,' 100 ;i '� ' 92 jgs�on , ,,�� g5 t db a 62 \ 1WE OUTtEr TEE SH&L I E EOWPEtt Wl7H GAS SAME. --- �' / 996 0 ,` D r o ^80 ,!t � . � �'cs� i � 87' � 1 • N° --r-'' 124 122 1500 / / '�� g '01, ", ._ .94' ♦ 8 F 60 PrOeased , 9 90 , \ General Construction Notes 1 0 •.Ga11on r � ' / ,:'/ ' �' der tjoog2 ,♦ 88 0 ` _ _ _ _ 88 C A• r ,c ♦ , A• r -- - - -- - - 7 .070 ,p nt.01 All the worlananship and materials shall conform to D.E.P. Title 5 and the Town of - _ _ ,' / f . , ---- ! ;• SAS R sr g _ . Barnstable rules and regulations for the subsurface disposal of sewage. 1 _ _ o yreu _ r , - - , , , / , , b 1g0 ,N 84 ` � „ �88 - -' i ' ♦ ♦ / i i - _ - - - - .. _ _ 68 _.- At least one access rt over tank tees shall be accessible within 6 inches of finish de - 108 ' 6 ' � ' 9`� -a��'� 1 .82 - - _88 ' ! �, / • - ^ 66 2, po grade, ` _ _ , , ,, -82 0 3 db 14 - ,' ' ' - -- - -- -- -- with any remaining access ports brought within 12 inches of finish grade. 104 100 , _ - 80 - - _ - - B4 09• -- / g8 /r�i '~ - - bay �. 84 . 82 i ♦ 182 2 ♦/ D ` ' ' 96 1�$ �i 1°mposed ' / _ dl 3. All components of the sanitary system shall be capable of withstanding H•10 loading ' , , , I � � '_ - •- g.' " --80' 8 �' �•� �� � � � unless they are under or within 10 feet of drives or parking. H-20 loading shall be used - - q�z1 �s.o,ti - -e►,�1ay.Npt ,,i I Dmmg. . - � .' - - 7870 ♦ / �` . under or within 10 feet of drives or parking unless noted L oT 3 l �tJ TbtJ• L�►• YsertJc• V_Xv • x--ZTMl1J• 0� r f , '- _ ,. .... _ 7 ♦ 6 -7¢ _ 74` - -' it 6 64 4. Ile excavatorlcontractor shall verify the location of all site utilities prior to any � `L � � •� ged-SAS excavation.. � ' �45.4 a1f �t � Pr'oP° ° A s�. �. R'�J2 st t oI a s .t _Ida ed %eD 4 d ProPos 5. Sewer pipes shall be flinch Schedule 40 PVC laid at 0.02 slope. 15 es 745V 114. �b ^ r�.S•. �` „I,, � ,:..o notes , i ♦ 169_ '� i , 0 - — k - - 6. Any masonry units used to bring'covers to grade shall be mortared in place. 3S" r C, ` ' z.y"'c f Lt of Broa�°u -78 ' /�',',' lio J. S IP C-L s�ao �o�c� �t, t �- Dies Po q bin o Den o ot��- _ 78 ',-.',',� o sq•�' 7. Finish grade shall have a minimum slope of 0.02 feet per foot. r F, V 'p',� __f E..oo• tL q4 , , $ 661698 f IOA %." G i � - - - - -�' 3 g2 Zoning Dktr1of_- RF � i tLOT t tiZ t•� ,szr ' - t t 5 Overlay District, GP 6 Cit. 16-S,0 , 3A. - ' 88 + � .'' g'40'E .Building Setbacks i t I NB5'1 No Leeching Front 30 Side 15'� - I SOIL OBSERVATION- DATA: � ��Z' oEslcr, DATA: � Rear 15 t STRUCTURE 3 r `^� II It t tt 1 e�eflY ,.�a Vsv. FEM4 Da t$: Zone »C" Cy.►1 rr L. ��c TEST DATE O"S-S4 C)o TYPE NO. BEDROOMS GARBAGE DISPOSAL I I t t ' F� ` . „ " STEPHEN �� S •"�• ti.Tc DESIGN FLOW 7&1_Ito •. •7rs 4 -�_�L 1r44s�� - t�0 eC 2� •1C J. C►�OYLE u SOIL EVALUATOR `�.�� b•l•S t El I 1 56 I 1 No. 3755'3 �r B.O.H. AGENT -� . T•A o .►�_,_._ I I - ' � ,S'1 t e .PI a .z 2 o f .La .22 d I I �achin8 to 160,No . Prepared For. I ,u PERC/RATE z �� • ,��-� SEPTIC TANK ufog ,.�o,� _; __.. ;,�►� ���-r..�z • - a' BA YBL'RRY BUILDING COMPANY rn t ••c• r e LEACHING FACILITY sir Guw ��Z �"� „� 0 "PAN West Barnstable, Nassacbusetts 5L, i o C s Z. r �} u +El. " 1 u 4 . ?fit li VS Z. t� ,�� '1j LS► ':c.',•�'3(� Zee dr'GZ x o•7� ' 3b G Lea � �xs:�, �I '�ua,�1_ ' - DEPICTING LOT _ 3 v z, Y L ,! Scale, 1 40 Da te.• June 26, 2002 'F, �n _ t VS FtK AU w� a� Z•'''� `�Z r t _'._- Prepared B•y. �S -�--- r 2.. Ste hen dr Doyle And Associates t-�a'Cs N te: �a� P •Y I L -•�'�'� z.�� '�► ' S�'*tn o � 42 Canterburp Lane, E. Falmouth, 1lfA 02536 I_ t This plan is a revision to the Telepbone: 508/540-,e534 .�_ -.._ ___._._._-_•.r.,- �35�`' - t z� "Site Plan of Land In West .R ri.�,.y� rL. �A•t Barnstable, IdA Prepared for Bayberry Building Company Depicting Lot -� De ted-02126101 Re vised-05116102 NO. 0A71E DESCRIP77ON 8Y Asasessors Da ta: ti I _�\ �_T_ JE7 TIT TINT- 1=:�, 1=e CD _F�_T a 2 of 1/6 - 1/2 Peastone CIO .. : .— .. c.oy av � s�5M r oC14o TOP FOUND. EL. 0 .0 Trench ridth A3__L 2 3 4 - 1-1 ➢Dashed i / / Crushed Stone I E PROPOSED S.A.S. TRF'NCH SECTION N/1TFR nni IT COVER 1 cvr r. --- — -- Tote! Trench Length ? -- {{ I INV. EL Z3.0 ow LINE '! ,-� 3/4" - 1-112" mashed Crushed Stone 1 • FL L k INV. EL. g I ra. s' _� Q- , -(p- �- G��9_ cur i _"�'♦ , ._' _ •�--� p` ; UJV. EL. .1� 4�t T. t b° ` "° 1 I INV. EL: 00 I 10' MIN. ', Lt 8 UOUID DFPTH + Inv- 1,1. A c� c� c� ca � �. c� o p I c� o , • � � El. 4't.0 INV. EL ^tQ e I : , _ I No. of T a - renches __ 1 - No. of 500 Gallon Precast Chambers 7- _ 5 PRECAST RE;,,!FORCE,) CONCRETE T RiBUT ON BOX 1--1/2" Mashed Crushed Stone--%' I L7iS 'Q i 1500 GALLON PRECAST REINFORCED CONCRETE SEPTIC TANK ___. _.. _ . El. 4Z.O _ _ 1� IP..�r nLl_ ON A LEVEL BASE Uj T MR 15.226 2 MINIMUM CONSTRUCTION MATERIALS PER 310C O Ml�plILIM wALt T}11CKNESS ?_ i BALL BE CONSTRUCTED OF SCHEDULE A0 PVC AND 1,1 14,11 II IIIDIMENSION � -, 1 TEES Sl' � �1 6t,IDE 1.. SHALL EXTCT D A t�t!`dIN!Utd OF 6" ABOVE THE 'FLOW LINE - RO SEPTIC TANK AND BE ON THE: CENTERLINE OF THE UUT`-ET INVERTC SHALL B r = OF THE LL E EQUAL tc. 1_nCH �OCuS� A r AND ER 7" MtNiMUM BELOW"'. Ir1LET IhIVF t`T, i SEPTIC TANK LOCATED DIRECTLY UNDER THE CLEAN-OUT OTHER - � SER`n0� MANHOIS_ WATER 1HE DiSTPMU 1sON LINES FROM THE DISTRISLITION if)X FLYING�— SHOOT HILL RD. THE INLET P{. e. E1.EVAI SHALL Lac NO LESS THAN 2 MOP .,r.nl_t_ ALL 1intT EQUAL INVERTS AS DETERMINED 9Y FLOODING . ABOVE. THE INVERT ELEVATION OF THE T IC_ 13TR1FiU?'nt: BOX TO i i EIM IT , _ i MORE THAN 3 ABO c. E THE _ OF TNC 11�T-ICUi10.1 OUTLET PIPE. U�1E INVERT Ar �r.F ALL LINES Hn`.�f t3EEN SEni.Et� iN PLACE. ��INVERT nDJUS�?:1E`1TS 5HnLl. EIE MAi[ 8Y -FILLING NG `M Tr DURABLE AND `ON-Dr FO?l,ASLE MATERIAL }ERMA,,1FN7LY FAS7END TO TH_ WEQUAQUET I SEPTIC TANK SHALL BE INSTALLED LEVEL_ AND TRUE TO GRADE UINE OR RECON;TRUCTIN F ' rI S t c ON A LEVEL STABLE BASE THAT HAS Ali ��ECHAr�{lCALLY G TH_ ._I E, lE1TtL ALL INVETS APE OF LAKE i MP _ AND ON TO WHICH SIX INCHES OF CRUSHED STONE EQUAL. ELEVATION, COMPACTED A edge of pa i� HAS PEEN PLACED To ENSURE STABIUTY AND TO PREVENT edge of pa tic _ _ _ _ - _- -_---=---_---=-_ _ _ 4 _ I -------- - ' SETTLING. � __ _ ------ -----�- �--_- ---`---- -= � _� ` � \ �. 120 LOCUS MAP SCALE: 1" 20a0' i ---- _� - - _ - - - - - - - - - - - - \ - .118 SEPi1C TANK SHALL HAVE106 A MINIMUM COVER.OF 9 - - - - - - _ 116 " VABtF IMPERMEABLE _ - IID - - - - - - - - - -- \ THREE 20 ?�ANNO,.CS Ih1TH READILY REI✓0 - ' _ " ` COVERS OF DURABLE MATERIAL SHALL 9E PROVIDED WITH ACCESS _ 114 - ' _ 106 _ _ _ - _ ID4 - PORTS 00- NG PLACED AT THE CENTER AND OVER THE INLET AND - - -_ -_ - � _ ` y • - _ 55 r • OUTLET TEES - - _ _ 287. \ _ y 1 IOp SHALL BE Er)UIPPED WITH GAS BAFFLE. i THE OUTLET TEE 96 98 12 - ,-�\\ .�' ` - - - _ _ 104110 , 108 100 - . \ �. 94 \ SAS. . _ 2,i-' \jam. •}d \ -i- � � \ Ib I ; 106 REPLACE SOILS NOTE.. 96 9 \ O 1 6198 - ft REVO PE' UNSUITABLE SOILS FILE' FEET LATERALY 9,2 \ \ \ '26 - - , IN ALL D°TRFCTIONS BEYOA 9 THE OUTER PERIAfET:R - \ _ .104 DESIGN DATA: 90 ♦ ti OF THE SOIL ABSORBTION ISYSTF,Af TO TIIE DEPTH OF _ _ \ ye t - , - - 01_ 5 . , , NATURALLY OCCURI G PL'RVIOUS AfATF,RIAL AS RFQIIIRI;IJ .88 ` \ \ �,. _ 57935 STRUCTURE BY 310CJfR 15.240 AND REI°ACE JUTH CLEA-A GRANULAR ose / x � , `�'E•�Stu 3 e � � - ,.. _ - 1 FI>'Eh FRO�If ORGt 'SIC M -11010 ATTER AND -DELETE'RIOU. ~ - i i r. ( TYPE N0. BEDROOMS GARBAGt DISPOSAL SA1�D, oo - _ ,. 96' r� SL85TAIbCES. \ \ _ _ _ 4 k :. DESIGN FLOW _. t l- - 8 � \ 82 \ 94 J I _ _ .tx • 968 _ 80 N -- � 1 l ZoningDistrict. RF I 76 - \ „ - _ �'- r 1.\ - - - 8 SEPTIC LANK. ._ _ . - �• , Ltsr-- ��o -- "" aa -- x _ \- 2�11 y 70 _ 82 € . 7 78 Overlay .District. GP 7r2 84 LEACHING FACILITY -� w \ 74 C ` a. _ To 35 _ _ 78 ti PCB El Building- Setbacks. b - 80 Da t 70.93 N GGD - , Front-30 - Pro - - � � � � � ..� - �,�, 33 P sed 7 586. , - 76' ¢ r 3�3p y Side 15 ....., GaI. Pr R , x o•`t o nt -- f r oposed �, 1 ? - �_ � 66 _ _ Tank - � � � .. _ 10 Rear 15 .. 2 s 1500 } 5 , Note: Should sobs be encountered during installation of sewage system the are ti t 1 -•� Gal.--_ - � - - 1I� ,70 Q I local Health c artment !h / not con with soil logs, contact the designer and/or your 1 a Heal D p N _.,. / , .{, -� .O t 25 68 `� Assessors Data: z L 1 r 70 O r3•nrtt 'v,u10 1 o J , ReS. �� �`iZ1 before proceedm�,. '. rr / , 8l6 --� 'O 64 3 s 66 FEW Data. Zone C 209.3 r� 2 76 66 � M tS/ - 11 p ` 6 ��.. p ace ; Reel r S.A 7 5 6 . . ..._..,._......�...._ - o �._ �" .. - , c., . d / �e I A si. Io R A sL toy2 .3 z ,I Propose S A•. ved _ os �,: _ g / prof .5N 1/4 i y , ., # 7-q zo . 8 4 a � F 56 SOrL OBSERVATION DATA; \ trI L.' r C� s+►u�a � (Z �tty,. - � � �, 1 �, T _ 2 , 3s —: ## I _ GEI IE RAC_ CAN � ,UG I�011 N01 c_., to14s i t. t &. .; , I , 47 T A N t1 r • 8 � ! a ALL 1 ORK. ANSHIP AND MATERIALS SHALL CONFORM TO D.C.F. TITLE �I � ;>tit6,51 9 K ► � i T DATE 0"3- o- c , F 04 P>~ AND THE TOWN OF t n v �f' / TES TE 'S C t�a� z.s h�i C T=•�S t.f. _ RULES AND REGULATIONS FOR /� 1 ,• THE SUBSURFACE DISPOSAL F SEWAGE E �- •s . o E D S OSAL 0 �tWAG _. � . > EVALUATOR '�? T. t2 G/ ,�1 SOIL —__-_ — �" Z. t I Z p - �i5 v I B.O.H. All AGENT ,_ ¢.1 _s__ t z �-sZ 2 AT LEAST ONE ACCESS PORT f OVER TANK TEES SHALL BE ACCESSIBLE' Lao vaAc'>Fq. t� fn � --- -------- -- --_ iH I i r r � Yr, „THrPJ SIX IN„HFS OF FINISH GRADE WITH ANY REMAINING ' ('� ACCESS �ES..., SITE PLAN OF LAND IN - FORTS BROUGHT TO wi �HIT•! TWELVE `INCHES OF .FINISH GRADE. Z. i t- E / A , WF�.S T F3ARNS'.�. ALL:. COMPONENTS F SHALL TABh�,t, � 0 THE SANITARY SYSTEM �HA�I_ BE CAPABLE OF - � , 1 - -Prepared� r 1 I r{STANDING H 10 LOADING UNLESS THEY R N - _ -->c. ARE UNDER. i0 For.•. OF DRIVES OR PARKIING. H- I 20 LOADING ;SHALL BE USED UNDER OR W1T"rIIN - OF D{?IVES OR -.PARKING N N - �.� s+ � :. __ BA YBERRY BUILDING COMPANY UNLESS NOTED i, , �` tSTER � • E 0 µ OF r a t •V i 0 G S 0 _ r � � A s S�, � t •Lz. �I De �ctzn 1 , ,,..tt2 4.' THE V 5T't?PNEN ti 4, a p �' 5t-. Lo ¢,s11 \ �I C EXCAVATOR CONTRACTOR'SNA�L VERIFY THE c' `� �_, � E LOCATION OF 'ALL r ` ,., r T * e��, lr - r � S1TC UTII.ITiES PRIOR T 0 ANY ,EXCAVATION: ', - "- : y : - 1 L 'S 0>'Lt � � � t ., wl�fi. . . GRAPHIC SCALE : � AI � - z. . - _ 5. .-SEWER P� SE _R PIPES SHALL`BE 4 SCHEDULE 4 V a 37.,..< L.-- 1 LE 0 PVC LAID AT 0.02 SLOPE. N 1 � l}EHF_RMAN r r► - .`"/ J r P 40 r � 20 4 0 i Y _ C r nv L19 . 0 0 8 160 1 e.r L o r~ Rn . . 4 .,l J K t+ : . 0 . . E Scale.- e t .�, 1 S e As Shown D e02106101 5 A r ,: T a. w m. G w �iwLrc, 6. ANY' MASONRY `.UNITS US D T .. .,.r. . ._ :w c �. '� � E _0 BRING.. COVERS TO GRADE: SHALL BE •. . . r __. c, -I _�__ ', _ MORTARED IN PLACE.-..•:._.�____ 5 L CE Prepared B 1: ta[� P Y ~ .' c >N Ste e Je an e h n J. `Do d Associates s '�•�. P Y 1 1 z ,s 5 1 r - > _L .. 1? � 40} � 1 :anc I h t 1 IN I f 7. F -1 I AD . � 1 4 E SHALL A V 2 Canterbury I. LL HAVE E A MINIMUM .SLOP F' F nterbu Lane, east Falmouth MA 02536 ��c> r _ E 0 O 0� FEET C'EP. FOOT: Y , R < t"t Telephone.-, 508 540 253� 4 o a P `t v Z Z