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HomeMy WebLinkAbout0157 SHOOTFLYING HILL RD - Health 157 Shootflying. Hill Rdact W. Barnstable 1` i I ° rt COBWONWEALTH OF MASSACHUSETTS EXE:cuTTIVE DEPICT: OF ENVIRONMENTAL AFFA,RS DEPARTMENT OF .ENVIRONMENTAL PROTECTh,:N =E 5 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSNJXTr :CS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A ' CEWI D (CATION Propee�ty Address:— •L l q c\� V ,D Owner's N m u' � �°:04, L Owner's Address:_J d Date of Inspeetion i Name of Inspector: )le:ase print) Company Name: , t �,�s��rev. r►.r� c„( R v co hg Mailing Address:� 'V N' o� W Telephone Number:_ _gyp g-I A S-2-4D 8 CERTIFICATION STATEl4+IENT I certify that I have personally inspe,=ed the sewage disposal system at this address and that the infomulic,.t rel;otletl below is true,accurate.a-,d complete as of the time of the n-,spection.The inspection was performed be&_tI :,n my training and experience:ill the propca-function and maintensueex of on site sewage disposal systems. I acts ; DE:P approved system inspector pursuant to Section I5.340 of Title 5(310 CMR I3,000). The system:: Passes Conditionally Passes Needs Further E"'aluation by the Local Approvisig Authority Fails Inspector's Sip&j u:i-e:,o�. Date:r.,. The system inspector s taii submit a izOPY of this inspection report to the Approving Authority DEP)within 30 days o:'c)mpletin this ins S �'I�a>rd, He �or g inspection.if the s�gem is a shafted system or has a design flow of 10,000 gpd or greater,the insp*=:or and the system owner shall submit the report to the appropriate rt:gional affix; if du DEP.The nriginal shot Id be sent to the systesm owner and copies sent to the buyer,if applicable,Lid tie aa• arovi l; . authority. Notes and Comments ""This report only describes conditions at the time of inspection and under the conditions of use an: :hat tin d ions of use inspection d oe s not address how the system wil l perform in the future under the same or d. Areat conditions of use, Title 5 In Form 6i151200Q page i r Pane 2 of l l 1 OFFICIAL INSPECTION FORM--NOT FM SUISURFAC;E SEWAGE DISPOSAL SYSTEM INSPEC:'7fION},0 i;N PART A CERTIFICATION(cco�ntmsaed) Property Address: /57 6 k D C, Owner: ;�_� L _ Date of Inspesli+rm: /-z- ,Za 46 n Inspection Sunimary- Cbm& A,B,C b or lE/ALOE conpieta am 4t9ssettlae D . A. System Paaas: I have nix found any infortnation which indicates that any of the failure criteria described ira 1 ,0 Chf 15.; 03 or in 310 :NR 15.304 exist.Any failure critnilk not evahsated are indicated below. Comments: IL System C0121111tionaily Passes: __ One or Haar system components as describec!.n the"Conditional Pass"section need to be rs :.aged or repeured. The system, upon completion of the replace;ntem or repair,as approved by the Board oflHe.slth,will imss. Answer yes,no m -tot determined(Y,N,ND)in the for the foil g statestsenu. if"not dctartr::,ed"plisse explain. The septic: sTrk is metal.sand over 20 years old,, the septic tank(whether metal or not)is :;V,I:turally unsound,exhibits substantial unfilmdon or*XfiItcWn or tank lisihvc is inminettt. System n wiik;p,a:z, it:spextien.ifthe existing tank is :lslaced with 1� :omplying tank Jutappro�by�e hoard of Hcaith. •A metal septic talk will pass inspection ' is structurally sound,not leabng and if Certificate:1si' : oanplasnee indicating that th,e tank is less than 20 old is available. ND explain: Observation of s ge backup or brisk out or 14h�yya�levtl in the distribution bex da y: to tanma:l.or obstructed pipes, o:r to a broken,settled or i d trsbsttion box,System approval of Board Health): x'� tines; two broken obsmecem is arcs to s Mowed -- distribution box n,leve6ed or rep*ed NA /NDawin: :required pumpingmarethW4 tiamec&.yew due to broken arobstrUcWpipe(s;.'17� :syaurn will •wi1l1 approvail of the Board ofHaaidl): broken pipes)are ri placed obstruction is removed ND explain: Page 3 of I OFFICIAL 1SWECIt'ION FORM•NOT FOR YOLL''NTARY ASSESSNUEDITS SUBStRFACE SEWAGE DISPOSAL SYSTEM INSPECTION FOIRIVI PAF CA CERTIFICATION(ccont zued) Property Address:_1,')-7 5li&4 Cfr ��,CGX Owner: f ^g� Date of Inspection: ; �� I C. Further Evalual1 on is Required by the Board of Hattlth: Conditions exist which require After evaluation by the Board of Health in order to determine if l:e system is failing to protect put lic health,safety or the envirantne.lt 1. System will pats unless Beard of Health determi=yes in accordance with 0 CMR iS.30a(1)0) th,ar.1tbc system is not functioning Ina manner which will protect public hen ,safety and the envircai jismst: Cesspool err privy is within SO feet of a surface water Cesspool or privy is within SO fret of a bordeivtg vege d wetland or a salt marsh i i Z. System will f,sil unless the Board of th(and Public Water Supplier,if any)determitaes tb a.:the system is functioning in a manner that otects the public health,safety and environment: _ The system has a septic., sad sail absorption system(SAS)and the SAS is within IO{► firer (TA surface water.m mily or trib to a surface water supply. The system,hss a ptic,lank and SAS and the SAS is within a Zone I of a public water su.�pl; The syste,L s to septic:tastk and SAS and the SAS is within SO feet of a private water supply ,,eiL. The Jr. ;ens a septic Iaok and SAS and the SAS is less titan 100 feet but SO feet or mon!frg lit a Private s rp91y well"*.Method used to deteraune distance "•'Th' system passes if the well water analysis,performed at a DEP certified laboratory, for coli;fal !I bm+ and valitile organic cotnppounds indicates first the well is tree from Pollution from than:fau i +y and •presence of aramordik nittvgen and ninte nitrogen is equal to or less than S ppm,provided that:-. n other. allure criteria we aiggered—A copy of the analysis:ztttst be attached to this form. 3. Other: I 3 i Palle 4 of I I i I OF'FIC'IAL INSPECTION FORM--NOT FOR® fJMJ 34Y ASi`'.ShE1V1 5 , SU MSURFACE SEWAGE DISPOSAL SYSTEM NSFEC7I0NP0,1 l.M PART A C:ERTMCATION( ) Property Addraw: //_S,, ES t F-1vt C,4 Yx Ce ZZ, Mor . Dew of lwpw�vl: D. Systam Fallrarm C.iterla.applicable tc all systoaas: You ll=indieae;'yes"or"Dry"to cub of the ffallwAing for aLinsl eetions: Yre Bac orp of sewage into facility or system wmponettt to overloaded or clogged SAS i cessitcKil 1111����JJJJ Dixterp or poatling of effluent to the suc•face of ®rouad or surface waters due to a1, c 1verlolimb;ci or elol l;exi SAS or cesspool Stwy:liquid leve',I,h the distribution box t outlet invert due to an overloaded or c:lo l;i;ed SAS ter e� sestFc�ri U*],i depth is cesspool is less than ti" elow invert or available volume is less ftm 5s cis:e floe __.. -Required puastpiall more than 4 ' in the last year due to clogged or obstructerd le.pel'4 J iva:ber of bases pumped Any portion of the:SAS,ee I or privy is below high ground water elevation. Any FartiOn of ce;upool privy is withB 100 feet Of a surface water supply or trtbutar+ r-a s�ur f..aas wager:suJimpply. My portion of a ce l or privy is within a Zane I of a public well. My purtioa doc %spool or privy is within SO feet of a private water supply well. r My per ion esspoolor privy is less clan 100 feet but greater than SO feet firom a pr:k tte wettersupple eerie uo acceptable water quad ity analysis. rnis system passes if the w,elll tc vt ter astadysis, perlbr at a DEP certlf ed laboratort,for collfotrm bacteria and volatile orl:arlb: a >tnpottn cis E indilge cs that the-well is free from poUution ftm that ffacilky sad the presence e)f!at!temonia 910M,gen and alttlate nitrogen is equal 1:e or less that S ppm*provithei that ao atls1e a S�alemrs as h eQria sire r0gsered.A copy of the analysis must be attached to this form., .. (Yes/No;1'hhe system,&&.I have deter mined that one or more of the a failure criteria es :;it tee dewibed in 310 CjoM 15303,therefam rlet sy�f>�I>be owner ��t,,atJret]l+seasl of Heattle to detern>iee what will be necesstuy to c :2 the e. L Large Systems: To b.e considered a large system the system apart a a faeeilby with,d Spd• �G0w of lQAl)1iWt to aS;DOD You Must indie n.,a ilher"yes"Cr"no"to of the 1 c lbt>ring: (The following criteria apply to urge s ms its Oddities%to the ex� ) Yes no the systtrrn is wi 00 feet Of a st dkee.Miking wrier supply the sysu to s thin 2CIO feet of a a tv 3 stet face drbticing water supply _ the syste0d is located in a nitrogen sensitive area(Interim Wellhead Protection Area—11PITIE►; or a tr;tplxd /TEsjvsttej"r of.a public water supply well If ye!d"yes"to any question in Section 1i the system is considered a significant threat,r, awwr;;r4:1 "Y" .it�sve the larlre system has failed. T'a owner or osi rdir Section 1: or failed under Section D shall u Aerator of any large system annsir ;red a : owner shoul�;t contact the pgrade the system in accordance vvit 311)C hill appropriaea regional office of the Department. 4 Page S af t t OFFICIAL INSPECT"ION FORM—NOT FOR VOLUNTARY ASSESSNXK''�'*fS SUBSURFACE SEWAGE DISPO&I L SYSTEM INSPECTION FORM PART B CHECKLIST Property Address:,_(� �' / r - <<2D gl `� Owner:�y' Date of Inspection: __ 0= •„_, Check if the folio_ �sve been dcme.You must indicsie aes"or"no"as to each of the foll10 i' Yes No Pumping ird ormation vns provided by the ow.wr,occupant,or Board of Health Were any cTthe system,components pumped out in the previous two weeks' Has the systern received normal flows in the previous two week period? _ -Y Have large volumes of water been introduced x the system recently or as part of this *n ecticir ? .4 Were as buii.t plans of the system obtained and examined?(If they were not available note as F. 4) Was the f wility or dwelling inspected for sip-,of sewage back up Was the s:.t;bispected for signs of break out? Were all sY":em components, excluding the Sf6;i,located on site ? Were the tept.ic tank ma�rholes uncovered,o b• and the interior of the tank inspected for di! !:oc;diti*l of the baffles or tees,ouncrial of corstruc �'ticm9 dimensions, depth of liquid,depth of sludge and depth.o`';;'; .m? _ Was the ficiii-y owner(and occupants if differnat from owner)provided with information on : proper aintenance of subswi ace sewage disposal systems? The size and location of the Soil Absorption Sy,n:em(SAS)on the site has been detarmine i bat;d ota: no Existing in Fxmauon.For example,a plan at the ®card of Health. Determined in the field(if any of the failure criteria related to Pan C is at issue approximari.o:n u;'diswnce is unacceptable)(310 c:hiR 15.302(.3)(b)) I S Page 6 of 11 OFFICIAL INS119CTION FORM-•NOTF®R VQLVMARY AS-9631 IE,N T8 SUBSUTRFAiCE SEWAGE DUPPOSAL SY33MM INSPEMON FC11M PART C SYSTW NFORMATION Properly Add,rrsis: �-7 cS kacf F1 l'jc G( 'CCQ Date of Inpeotlis: FLOW COI 11MONS RESIMENTIGI3, Number of bedrtsuas(desigut):_„ Nw*ber of 1**ooms(aet 4:- DESIGN flow iurted.on 310 CMR 15.203(for exaagile: 110 gpd x#of bedrooms): 13,Z) Number of cuncat reskints:-„Z Does ruideuce btivs a garbalp grkWw(yes or no):,o Is laundry on a a"pie sewsCe system !W no):,_o [if yes separate inspection required) Laundry system aupected(y r. or no):.&(J Seasonal use:(a.-s or no):&(9 , Water meter re,tcin`s, if avry cable(IM 2 years usage( pd)): q 15 G Pump ,. Sump P 04,s Ix no):�C✓Zl q8 l G Last data of oavupaacy:.M�4znd- COMMERCLU.MMUSTIUAL Type ofessabluhcamt:Design flow Ns-Won 310 Ca 15.203): _vim Basis of design flaw(seswpt,?,W=/sgfl, Grease trap pra*nt(yes or noy Industrial waste hal-ling tank p (yes or no): Non-sanitary nvrtst+:discharge, the Title S sysurn(;yes or no}; Water meter read�"M if a able Last date of occgxmcy/ _ OTHER(describ- . GENERAL I?rFORMATjON Pumpltsg Records Source of inform aion: / (, d® Was system pumped as part of The inspection(yea or ao): G If yes,volume ptsaped. gatloas--How was u Reason for pumpmtlt: _ q sty Pumped deoermined? --------------- TY E OF SYSTI., i Septic ctistribution box, soil absorpd=sy=jn —Single cesspool Overflow cesspool —Privy Shared system(yes or no)('if yes,attach is c xpectim_Izinov�ative/A1teln'tive technology.Aaacha 'if MY) obtained torn syr-m owner} �Y cdttte�oPgnmi�o and ice coe.ttt a(to be _Trght tank .._.Attach a caapy of am DEP apprVoll 1 Other(describe,): Approximate age c'111 l compont:nts,date ' tall (if kitvwn)and source info ion: -- 'Y•—�czw: h Were sewage odors detected whoa arriving the site 0,es.or no}: 6 Page 7 of I l OFFIC1A]. 1,NSPECTION FORM—NOT FOR VOLUNTARY ASSESSJV[.E111'fS SUBS'JItFACE SEWAGE DISPOSAL SYSTEM INSPECTION FO'RIV-1 PART C SYSTEM INFOF2 ATION(continued) Property Address: =�-377 J'i 1 (`W 010 Owner: Date of Inspectlo0: BUILDING SEWER.(locate on tite plan) Depth below grade: 36 Materials of constru+Kion:_cast iron 140 PVC_otter(explain): Distance.from private water supply well or suction line: _ Comments(on condit:ou of joints,denting,evidence of lu kage,etc.): SEPTIC TANK:X_JX=on site plan) Depth below grade:. MateriaJ of construcHo: : cOncITte metal_,fiberoass_,polyethylene othe:r(explain)__._ 1f tank is metal list a;ie: Is Ale confirmed by a Certificate of Compliance(yes or no); (attach a{1-3y of certificate) 0 Dimensions: 1,220 Sludge depth: ...,,,�,9.1 � U Distance from top of shadee to boncim of outlet tee or baffle; Scum thickness:_1, � it Distance from top of scum to top Of outlet tee or baffle: Distance from bottom of scum to be-ttom of outlet tee or bade: IS' How were dimensions determined: ,( -e"Cl -C. Comments(on pumpuitl recommenaations,inlet and outlen tee or baffle condition,structurai integrity, liq!iid J,.ve:iz as relatec4isp outlet in r:�t,evidence of leakage,etc. gL- ---- s�.�l�_ GREASE TRAP:—f!ocau on site plan) Depth below grade:_ Material of constructian:ecott "ft;.,_metal fib :iss,„polyethylene other (explain):—.— Dimensions: Scum thickness: _ _ Distance from: p ofs oc:urn to top of Dude or baffle:_ Distance from bottom of scum to bc►. of outlet tee or buffie: Date of last pumping: ._?eence ` Comments(on pumping endations,inlet and outler tee or baffle condition,structural integrity, liqL d levels as related to outlet inv:rt 1,3f leakage,etc.): 7 .Page I of I 1 OFFICIAL INSPECTION FORM••NOTIM VOLUNTARY ASSES' PG.NTS it S101SURFACE SEWAGE DD POSAL SYSTEM INSPECTTOPI IN!:lthI PART C SYSTEM INFORMATION(cat d used) Property Address:; 117 IViA l Owner. 61e� Date of Inspa:Wo._ . TIGHT•or HOLDING TAWNY (talk must be pumped at kffP9i loftiale on vitro E:L in) Depth below grease: Material of conszmction:__concrete__,_—metal -polyethylene othen;exl l .in 1: Dimensions: Cqmiri: _--- ---�Ii�s Design flow: -�__�� day Alarm present;;rots or no):_ Aletrrt level:-- _ Alarm' rking order(yeti or no): Date of lest ptnnF : Commemx(eatel,°zol 01 and AM Swiltc$es,em:.): i DISTIUBU TION BOX:��(if present must be openedxlocate on site plan) � Depth of liquid level above outlet invert:.e Comments(note if box is level and distribution to outlets equal,any evidence of solids carryover,.v, a evidence of leakage i or out of box,eta.): PUMP CHAMBE.R.- (kw to on site plan Purops in warkir g order(yes or ao Alarm in worke4il order(yes o): Comments(nod:ccediti pwnp chamber,00tbieeofpompsand>�r 8 Page 9 of 11 OFFICIAL, INSPECTION FORM—NOT FOR VOLUNTARY ASSESSr9]Z!, 17S SUBS157ACE SEWAGE DISPOSAL SYSTEM INSPECTION FORNI PART C SYSTEM INFORVEAATnION(continued) Property Address:_[� G i r Owner: Date of Inspectiow,__jJ 4994d + SOIL ABSORPTION SYSTEM(SAS):IL(locate on site plan,excavation not required) If SAS not located explain why: Type leacbing,pitt,nt:riber:_ leading chambot:,number:_ leaching galleries,number. leaching trenches, number,Imigth: -i L beaching fields, niur,ber,dime;:t.sions. 9rjf cp- ove,,low cesspool,number.___ _ inrovative/altettli,tive system Type/name of technology: Comrncnts(note condition of soil,signs of hydraulic failure,level of ponding, damp soil,condition ofvell::iatiu>, etc.): CESSPOOLS: (cesspool mus1t be pumped as pall of;!0pec1ionx10cate on site plan) Number and conftgmt.cra: Depth-top of liquid to bilet invert: ^ ' Depth of solids layer_._ Depth of scum layer: Dimensions of cesspoe I:.. _ Materials of construction: Indication of groundwstea ' w(yes or ao): Comments(note condo ,,.of soil,signs of hydraulic failure,level of ponding,condition of vegetation, etc., PRIVY:-—(locate all:aite plan) Materials of constructicn-, Dimensions: Depth of solids: Comments con ' n l;n r ,of soil, ::ts of h g ydraubc failure, level of ponding,condition of vegetation,,otc.;1 4 Page 10 of 11 OFFIt:LkL INSPECTION FORM --NOT FM TOLUNTAKY-,ASSE::i:i ilEN'T�i SU11.31WAaC:E SEWAGE DISPOSAL S'Y'S"I'MM EigWZLM0N FX1 :tM[ PART*'C SYSTEM IM ORMATION'0aa wmw) Property Ad&xa.: (4 Ovwaer.r.L:L1s1 `IIA V 6 Date of Yaspectk,n.. SKSTCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch ofthe sewalle disposal system inCIII-Nog ties to at least two permanent refererw.e 1t imutj or benchmarks.Ijoulle all wells within I00 feet.Locate where public water supply enters the build all �y 7 I to � i Page 11 of 11 OFFICIAL INSPECTION FORM—NCT FOR VOLUNTARY ASSESSNREDITS SUBS01YACE SEWAGE DISPOSAL SYSTEM INSPECTION F0101 PART C SYSTEM INFORMATION(continued) Property Address:_J Jr 7 V�A SL Oweer. ��;X Date Of Inspection:_ 4 SM I XAM Slope Surface water Check cellar Shallow wells Estimated depth to gnu.vd water!L�f feet Please itndicate(chec K)all methods used to determine the high ground water elevation: Obtained from.sysiem desip,plants on record-If checked,date of design plan reviewed, �.Observed site(ibinting propnV/observation hole within ISO feet of SAS) Checked with l,x:sl Board of Health-explain: Checked with Ix,tl excavators, installers-(attach dc,c=entation) Accessed USG'S database-explain: _ You must describe ho oe you esta disheddtth`e high ground w1tter el ev tlon: Q �2 11 'x 7 TOWN OF BARNSSTABLE LGC,AnON ��67 f�i i��I I SEWAGE # VILL; GE Ce&rf*- ASSESSOR'S MAP& LOT I y. a 3 INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY r 6�'L LEACHING FACILITY: (type) e2 S-K�-41e Stt (size) NO.OF BEDROOMS `7 BUILDER OR OWNER -T K-., PERMITDATE: �^ I/- 97 COMPLIANCE DATE: -- — 7 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 2 CO r _ 2� �n TOWN OF BARNST'A`BLE LOCA T IOC S z 6 opt �\SJ \ r N SEWAGE # V LLAGE C ASSESSOR'S MAP & LOT-g( Gc�3 �SNAME&PHONE NO._0\r&,-- . ,,V...Q,WeA SEPTIC TANK CAPACITY ( o 0o LEACHING FACILITY: (type). $"x��{ - eti C� (size) NO.OF BEDROOMS 1 BUU.DER OR OWNER PERMTTDATE: C DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility.._' ti 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 � � �- 4 t pµ. t •A41 • � N � .� �� t,,ti �L � �1 _ i 1 ..a �. Q " � ' y � k� 1� �I . .. i + `� „ b. V O V �I '\ � �'1� L0CJITION PEWAGE PERMIT NO. VJ)Z VILLAGE I N S T A LLER'S ME A ADDRESS �. ef B U I L D E R OR OWNER i DATE PERMIT ISSUED !o,_ 2�,4_85 DAT E COMPLIANCE ISSUED )® _ 3 , _ S t� 10 i P6FAP. s: i L,�g 2 6 ` Fee �® l' THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS Zipprication for DtOo at *pgtem Congtruction Permit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) O Complete System O Individual Components Location Address or Lot No. 157 S oo"t F `I i h S t ,lk 'Owner's Name,Address and Tel.No. Assessor's Map,Parcel � � t sjLk VO Installer's Name,Address,and Tel.No. 1 Designer's Nam ,Address and Tel.No. 6 �e��e,c4x � r Type of Building: Dwelling No.of Bedrooms Lot Size sq. ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other F_x/tu'res Design Flow gallons per day. Calculated daily flow IiE3 gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank IeSn(7 Type of S.A.S. L e.0.Gh F:-e 2 4 k Z S Description of Soil S t L Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmen`ak ode and not to place the system in operation until a Certifi- cate of Compliance has been Signed Date Application Approved by Date l'-9 Application Disapproved for the following reasons J 2 ;_ Permit No. o � — ——����TM Date Issued —— � TOWN OF BARN/STABLE LOCATION k5 /—J oy ,5 4yr t--(�r�I SEWAGE # VILLAGE ASSESSOR'S MAP& LOT INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY f-c► Cam_ �fX)D LEACKJG FACILITY: (type) gai (size) 1 NO.OF BEDROOMS .BUILDER OR OWNER MO K-1 C4 pk rro� PERMITDATE: ! - I/- 97 COMPLIANCE DATE: 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 o t , No.A �' !', 1 S� Fee ✓ 0 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: ` Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS ZIpplication for 33fi6po at-6psstem Con.5truction Permit or Application for a Permit to Construct( )Repair(Xpgta ;)Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 157 S oo (-III 5 N,1 Owner's Name,Address and Tel.No._ Assessor's Map/Parcel y vz 3 ' /` Installer's Name,Address,and Th1.No. s Designer's Nam ,Address and Tel.No. j Type of Building: Dwelling- No.of Bedrooms 114 Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures s� ,• e f c` F Design Flowt gallons per day. Calculated daily flow ;,gallons. t Plan Date. Number of sheets Revision Date Title .x L2aCh. _Size of Spe c ank _ ),50 C7 Type of S.A.S. Descrjp_!"7 f Soil Nature of Repairs or tions(Aiiswe when applicable) Date last inspected: .. ' Agreement:' The under_sgiaed agrees to ensure.the construction and maintenance of the afore described on-site sewage disposal system in accordane w th the provisions of Title S.of the Environment Code and not to place the system in operation until a Certifi- , cate of Compliance has been' s axd�ol I Signed Date l Application Approved by 101, Date Application Disapproved for the following reasons Permit No. o Date Issued --------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY``,that the On-site Sewage Disposal System Constructed( )Repaired ( )Upgraded Abandoned( )b `` o o�.t r o b*yc S at - ee} — ha been constructed in accordance '1 with the provisions of Title 5 and the for isposal System Construction Permit No. ?' r1 dated 9 ` _ Q,2.. Installer Designer The issuance of this permit shall not be construed as a guarantee that the system will function as designed. Date �/ 1��� Inspector- --------------------------------------- S s No. �7 C tO Fee �Q THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS 1=t2;pogal *p4' tem Construction Permit Permission is hereby granted to Construct( ' )Repair( Apgrade( )Abandon ) System located at oe� _ t l� CQ_ \� � `@• 1 I"f 1 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: 9 -- // Approved by ( W'tl C NOTICE: This Form is to I)e 11se(I for the Repair of Failed • • •�'" Septic Systems Only CEItT'IfICA'1'ION UCSKETCH AND APPLICATION FOR A DISPOSAL 1VUItKS C;UNS1 KU( 'I IUN I'I;It�91 I' (1VPI'IIUUI' DESIGNED PLANS) l �•��a '� S hereby certify that the application for disposal works i , concerning the construction permit signed by me dated �—� \�� � 8 located at l5 `7 S��o� �` i h �' l �`� '`r t all of the proper(YF. following criteria: ` feet of the proposed septic system • There Arc no wetlands within 300 p Po P There are no private wells within 150 feel of the proposed septic system The observed groundwater table is 14 feet or greater below the bottom of the leaching facility There is no Increase in now and/or change In use proposed • There are no variances requested or needed. i DATA: SIGNED: j LICENSED SEPT C SYSTEM I STALLER IN THE TOWN OF BARNSTABLE NUMBER (Attach a sketch plan of the proposed system. Also if the licensed Installer posesses a certified plot plan, this plan should be submillcdj. i } 1 .�'ai: ' �""-• , 1,���� V� r v. �� i.i r r r� � EMERGENCY REPAIR OF THE SUBSURFACE; SEWAGE DISPOSAL SYSTEM FOR..DONALD CAPPELLETTI AT LOT #11, 157 SHOOT FLYING' HILL RD..CENTERVILLE. MA 36 •�� DRAWN BY: NOR.MAN LEVIN,P.E.19R# 1N OF 'M�s,� DATE:JULY 30, 1"7 SCALE: AS NOTED . LEVIN W.8791' Existing Leachiog Pit to be abandoneQ. Existing Distribution Bo:to be replaced wi a k / new 7 Outlet Distribution Box. Existing 1000 gallon Septic Tank to rem �9$n) '_— --_- j Proposed Subsurface Disposal Held consisting of B.M: N.W. corner of deck assumed elegy 100.00 �Sj 4-4"PVC P�e, orated Distribution lines spaced 6' ' 9740 on center s'7i•long and pitched 0.005'per foot. —3 Install over 8"of%"to 1 '/:"washed stone. Cover with 2"of 1/8"to%:"washed stone. size of field is 24'i ' 404'o � a k.9 1 liii 'r . : i A'1 - --�_ - Existing Garage 1 - -- - �� Existing Deck Existing 5 Bedroom Residence. LEE grade 100.23 Existing Driveway Sewane Calculations : (Soils Class 1 with a percolation rate of le than 2 mins./in.) YAW*BR: 110 gals.BR= gallons/day. �gpd/o.74=�Lf required. Proposed system is 24' wide i 21r, long or 11W- >'343.f. O K No Garbage Grinders to be used: General Notes: • This drawing has been designed in strict accordance with The Commonwealth of Mass.,Dept.of Environmental Protection,State Environmental Code,Title 5. • Contractor shall contact the Design Engineer and the Barnstable B.O.H. prior to starting the installation to coordinate the required system inspections. • The installation shall be in strict accordance with Title 5. No changes will be allowed without written permission. - • Pipe connections at inlet and outlet of the new Distribution Boa shall be grouted with hydraulic cement grout for water tightness. • The Design Engineer,upon satisfactory completion shall certify,in writing to the Barnstable B.O.H. that the sewage disposal works have been constructed in strict accordance wits the approved pistrn. N.` ®------ MAIo..... ---- 3 .�s............................ THE COMMONWEALTH OF MASSACHUSETTS PARCEL, ; ���- ��-� ' 101 BOARD OF HEALTH � LOT 130add owe..... ............._0F............Barnstable.---------•------------ ............... dM Appliration for DWVasal Workii Corm rurtion Frrutit Application is hereby made for a Permit to Construct (X ) or Repair ( } an Individual Sewage Disposal System at: ;q- ..... ........___ -.......... ... -- - Lot. 1l ----._...... Location-Address or Lot No. ......Donald J: Cappel_Lett _________________________•-_--_- Shoot Fly pg_._ I ,1...RQaj_ ........., Owner Address (� W .................................•-••••-••-•-----..................---..............._....•..... .... ..........-----................ ................ Installer Address .. dType of Building �` A� Size Lot....l4 ,513- .Sq. feet U Dwelling—No. of Bedrooms............... ...........................Expansion Attic f o) Garbage Grinder �o ) Other—T e of Building No. of persons............................ Showers — Cafeteria a' Other fixtures ................................. . W Design Flow............5.5...........................gallons per person per day. Total daily flow........3.3.0............................gallons. WSeptic Tank—Liquid capacity_-J.QOQ.gallons Length---$_'_--b_'_ Width.4_'_71Q". Diameter................ Depths'_-1...... x Disposal Trench—No..................... Width............ Total Length;.____......._....._ Total leaching area....................sq. ft. Seepage Pit No-------1-1 Diameter......12'.-..... Depth below inlet.3.,.6Z......... Total leaching area..25 ........ ft. . z Other Distribution box (X ) Dosing tank ( ) '-' Percolation Test Results Performed by._.0 W..Cod..Suw.7.y...CQnsult?�?ts...•.. Date___.3Z27/$5_______________ 1I JA ,4 Test Pit No. I......2-------minutes per inch Depth of Test Pit._...12....___.. Depth to ground water. . ,j;�.,4-(�"t&r 44 Test Pit No. 2....... .......minutes per inch Depth of Test Pit.................... Depth to ground watt., .......... " .'pq TP# 1 -12" t4 .sQi1;...12"_-26���..subsoil i...36"-84".,......... c� x O Description of Soil....ston�__sand and__gravel_I__•84"-144".-_medium--sand._&_-gravel.___ _-•_•- ...... '^ V 9P�_.2• 0-6".,__topsoil, 6-42"__stony__subsoil,___42"-72"•_stony sand__&_____________ 1+c� __ w�LsoN" W gravel----72"-_144---meditmt-_sand_-&;gravel._.___- .�No 3.... Q V Nature of Repairs or Alterations—Answer when applicable_________ _________ _________ _________ _________ _________ AL Agreement: e.Giee'lli The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in ecordance withg/S/8S the provisions of iITiS 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of C mpliance has been issued by the board of health FQ L/ 7- i, L-Vl L F+�vi / •h:4 Date Application Approved By.._.. �D S�f .... Application Disapproved for th f flowing reasons:.............................................................................................................. ..........-•--.....--•--•.................••---••-----••---........••-••- .................._.......................................................................................................... Date Permit No.... 2.' 2� .......... ---.....---•----•-----... Issued._..----"--- 1.. ate 'E w No.--•••-••-•--•••-....... FEs.............................. THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH Town....... ....................OF............5.drns ab le Appliration for Dhipmal Works Tomitrnrfivit truth Application is hereby made for a Permit to Construct (X or Repair ( ) an Individual Sewage Disposal System at: ................__ _.......... ._ . ......•......... - Lot.._11...... Lo .... Location-Address or t No. _Donald J. Cap�_gllett --.__-- Shoot Fly ng..H 11 _Road Owner Address a _.____ - .-_ West Barnstable ........•. --...............•_....Installer Address d Type of Building Size Lot---- 1 _a_ 1 ±_..Sq. feet Dwelling—No. of Bedrooms..............3....................__..___Expansion Attic �O) Garbage Grinder fio) Other—T e of Building ............................ No. of ersons__...___.___.......... . Showers — a Other—Type g p` ,..._. ( )' Cafeteria ( ) Otherfixtures .------•----------------------------•-•---------------••-----•--•--••----••-•-••••----------------••-••------•-----•--••-•---------...........----- W Design Flow............5.5...........................gallons per person per day. Total daily flow---------3.3-0........................... Ix Septic Tank—Liquid capacity.10.00.gallons Length___$_ -6"_ Width_C.:710". Diameter._._____•__--._. Depth5'-4...... W Disposal Trench—No..................... Width:._..___.________.. Total Length.................... Total leaching area....................sq. ft. x Seepage Pit No------1............ Diameter------12._-..._. Depth below inlet_3,67........ Total leaching area..251........sq. ft. Z Other Distribution box (X) Dosing tank ( ) Percolation Test Results Performed by---Q4Fe._ _5i _.0qnut ?ts...... Date.....3127�8� ,.1 Test Pit No. I....... .......minutes per inch Depth of Test Pit.................... Depth to ground wat _OFF fi Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground w ............... TP 1 -12`'1 tAI�SOla 12�°-`6i9c...subsoill...36 �-84°1,......... v STEPHEN �G stun sand and av 4"" "" Descrlpton of Soil------------- '-----....---•---------•- ----el;-_-$:_.."Z44 $ meeliwn sand & gravel. ALLYN m v TP# 2% 0--6°',--topsoil;_ 6-�42" stanv_subsoil- 42` -72" stony sand & �: w1L'�t5><t y W gravel;...72"-144" median sand.& gravel. A�;���:sogtrs�� x --------••---------•----•-----•-•--••------•-•-•-•••-----------••--•-•- U Nature of Repairs or Alterations—Answer when applicable----------------------------------------------------------------- ------------------------------------------------------------------------------•-----------------------------------------................................ Agreement: eiv�G The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with#'/�S the provisions of Ti T L 5 Of the State Sanitary Code— The undersigned further agrees not to place the system in/ operation until a Certificate of rmpliance has been issued by the board of health 7jEV�_ MF1VTl /rV ned_Q _:_. lf' !`` - 2SDate Application Approved By.._....._ ___________ __ �-................................................••-----.............•-••-•----•-•-----Date-•......•--- Application Disapproved for th,� g reasons:_._._ - --------------------•--------------•-••--•---•-----------•-••---------•---••---•_._...----------••-•---••---...-•-•-•-•-••-•-•-- -------••---------------------•--------.....---•---•--••------...._.._. Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ............I.............................OF..................................................................................... C�edifiratr of Tour rlianrr THIS IS TO CERTIFY, That the Individual. Sewage Disposal System constructed NZ or Repaired ( ) by----•-----------------------•----------------------•--------------•--•--------------••--------------------------------------•-----------------------------••---------------•------•----------------- � r / Installer at---- Qv" ------------=�..t� ----------�i�v_ck ---- -{ •-------•------------------------------- .as been installed in accordance with the provisions f "i i j of F,-. tate Sanitary Code as described in the application for Disposai Works Construction Permit NoZZ.S.-_1_-�2CO _______________ dated_..."}.-:.ZZ,5_�_gs............. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT EE6dS RUE® ,1 A C:BJ AN E THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.................��_.r. ...�.` ............................... Inspector............ THE COMMONWEALTH OF MASSACH ETTS BOARD OF HEALTH �j 3 ...........................................0F.................................----------- ......----........•----:....... � No...6.5 -- 1../ FEE.. • ................ isposal nrkT 11trudion rrntit Permissionis hereby granted ....... ............14 ......••-----•-•-------•-••----••---••••--•--•-----......•----......................... to Construct ( ) or Repair ( ) an Individual Sewage Disposal System atNo....L�7. ` ��------------------•-----•-----.-------..-.---•-------..---•-------------- - -------------- .------------------ Street as shown on the application for Disposal Works Construction Permit No._` >___'�. �Dated.... ......... ..... > ----- Board of Health xDATE ...................................... FORM 1255 HOBBS & WARREN. INC., PUBLISHERS 7 N • �� LoT ! l � N J • 0� / 5/3fS,F q N o.83 N of ass PLOT PLAN 9� C. y THE STRUCTURES SHOWN WERE o ,111I ti° C r'iiTlN( �.+ /N LOCA FED 0A' THE GROUND � No: 29869 � ONU,V 77 /9 o<^s ?Er1>TEtiE� �o ' , 77-79L AfA SS. r THIS SKETCH /S FOR PLOT PL AN PURPOSES ONLY AND SHOULD ,�,/� �/ h r- ! �• NOT BE USED FOR ANY OTHER PU CSE . CAPE COD SURVEY PROFESSIONAL LAND SURVEYOR CONSULTANTS 32.61 MAIN ST/-ROUTE 6A PROJECT No 03 - ; -�O BARNSTABLE VILLAGE, MA 02630 (617) 362-8133 Town of Barnstable P# Department of Health,Safety,and Environmental Services of Public Health Division Date 367 Main Street,Ilyannis MA 02601 HARNareeta,)Q 9� KAM �7 Fee Pd. Date Scheduled. Iq � Time lFD MKt Soil Suitability Assessment for Sewage Disposal �pdZ Witnessed By: e< Perfcrmed By: - LO ATION & GENERAWNFORMATION ,c�! � `c� c ��ffi//l Owner's Nama� `C L L.oc€lion Address 1$ i�, /'W / X / C�` v/ /i id12,. Address �`�'S� Assessor's Map/Parcel: "�.� �` D �.� / uV ✓ Engineer's Name ��y r" je Pt- NEW CONSTRUCTION REPAIR Telephone Land Use o Si Slopes(%)_ 3 _ Surface Stones R Possible Wet Area It Drinking Water Well n Distances from: Open Water Body Drainage Way _R Property Line �U ft Other '� n SKETCH:(Street name,dimensions of lot,exact locations oftest holes&perc tests,locate wetlands in proximity to holes) �v lc) 1 Parent material(geologic) Depth to Bedrock Depth to Groundwater: Standing Water in h Weeping from Pit Faceole:Estimated Seasonal Fligh Groundwater AM ' n ERJMINATI,O FORSEASONAL HIG.q, AVATER TABLE Method lJscd: J l 5 ( � in. in. Depth to soil mottles: Depth Oh. rved stTnding in obs.hole: in Groundwater Adjustment n. Depth to weeping from side of obs.hole: Index Well N_ Reading Date:_ Index Well level Adj.factor Adj.Groundwater Level PERCOLATION TEST n;♦te z2- Time f� Observation ��-- Time at 9" L� F lole N / �J Time at 6" Depth of Perc / Time(9"-6") ' Start Pre-soak Time @ 6 01 0 End Pre-soak l49 L i Rate Min./Inch /Gss " -t, ��'�yX^ Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(YIN) Original: Public Health Division Observation Hole Data To Be Completed on Back-� ICopy: Applicant DEEP 013SEIZVATION HOLE LOG Hole Dcplh From Soil I lorizon Soil Texlrire Soil Color Soil Olhcr Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. ` 0 eh Consistency`l am a le0 y r to /VdQ_`;.c• I/y�.,�� 3 17 ' € DEEP OBSERVATION HOLE LOG Hole# Depth from. 'Soil I lorizon Soil Texture Soil Color" Soil ` . Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. V stency.o DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. % _ . DEEP OBSERVATION HOLE LOG Hole# Depth from Soil I lorizon Soil Texlure Soil Color Soil Other Surface (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. Consistency.° Flood Insurance Rate Map: Above 500 year Flood boundary No_ Yes X Within 500 year boundary No— Yes Within 100 year Flood boundary No_ Yes Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? V If not,what is the depth of naturally occurring pervious material? Certification I certify thatron ate)I have,passed the soil evaluator examination approved by the Department of Environmenta" l Protection and that the above analysis was performed by me consistent with the required a' In ,expertise and experience described in 310 CMR 15.017. Z2�Signature Date / r (A __ . . FORM 11 _ SOIL EVALUATOR FORM Page 1 of 3 N. No. Date: �2 2 7 Commonwealth of Massachusetts . oil Suitabili Assessment " rMassachusetts • on- ite ewa a Ih' sal Performed B Witnessed B ZL �: ...... �� Date. ............. .... y 9 L*=ian Addr/ess a Address.WW /!/�� Telephone S/ S'Lic�vT �L' �j`✓ll / ew Construction ❑ Repair Office Review Published Soil Survey Available: No ❑ Yes Year Published y' Z /fed Publication Scale Drainage Mass iil Limitations Soil Map Unit r= ...:.::..., �f® Surficial Geologic Report Available: No 11 Yes 0 Year Published Publication Scale l-`Z S? 4-9 Geologic Material ' (Flap-Unit) .. Landform .......:.................................... .... .. Flood Insurance Rate Map: Above 500 year flood boundary No ❑-Yes ❑ Within 506 year flood boundary No ❑Yes ❑ Within 100 year flood boundary No ❑Yes ❑ Wetland Area.- National Wetland Inventory Map (map unit) �•�� 4 - Ga Wetlands Conservancy -.�............ancy Program Map(map unit) / _ .......__ ............ •1..a.C"t.-Y......_................_........._.. Current Water Resource Conditions(USGS): Month �G fy Range :Above Normal .®Normal ❑Below Normal ❑ - Other References Reviawed: ,� Do"MOVED FORM-U/07/95 .ti • r FORM 11 - SOIL EVALUATOR FORM Page-2 of 3 Location Address or Lq No. L113-��4 7 On-site Review Deep Hole Number Date:.»w.72L F 7 Time:-.. d.;'o.. W ether 70 Location (identifyon site plan) ..:v ...:,:..er���Y.. ::. .ems<�. 1 c e /s^ Chit r 7D U vwv�x- F Land Use :.�Mw.�r.�.�,.�.�.c�.... Slope (%1 ..:..,.:.1. . Surface Stokes .... .. :.._::.,. . ,.,.::....».:.............:....:. ......._ VegetationGv�< .... � 9 :.f.:.:....:. ....... Landform Position on landscape (sketch on the back) .:.:::.:.. :..::.,.;...,::::.... . Distances from: �� Open Water Body . feet Drainage way feet L 2 ,, Gn; Possible Wet Area 3S"a feet Property Line Ce.���... feet Drinking Water Well --.'. ..-.:- feet Other � � y �0 : 7 / DEEP OBSERVATION HOLE LO 2,0 Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(Inches) (USDA) (Munsell Mottling (Structure,Stones,Boulders,Consistency, % Gravel lad G f Goat? J -/--vim J /oar. �a 4" �sees, kAl / i 4 _32 C /-r4 vE/l jo Ila eiel PON. Material(geologic) ��Os C� G C� � BedrocIL Demb to Groundwater: Standing Water in the Hole: e c Weeping from Pit Facec EstirrtaW Seasonal High Ground Water: /Ue4- .• , 4 F • DEP APMOVFD FORM-IV*719S u - , SOIL TEST P'IT [DATA: "Iftc. 0�A TEs OPTIC TANK DETAIL: ,, DISTRIBUTION BOX DETAIL: LEACHING PIT DETAIL: PERC •-�--• QitNlERVIaL1 �` GAL, TEST OROUNDWATER NOT TO SCALE REVISIONS: f NOT TO SCALE NOT TO SCALE NO. DATE TP I' TP TPa TP NOTES; 1, SEPTIC TANK SHALL BE STEEL 4. INLET AND OUTLET TEES TO BE CAST IRON, 4 NO, OF OUTLETS: _ MANHOLE COVER LOAM 88 SEED REINFORCED CONCRETE. BROUGHT TO FINISH GRADE OR PAVEMENT C'e,*"!T�'.�.rAl a[ ( D. EL. l GR0♦ EL. GRD. EL. ' GRD. EL. _. scHElx 4o PVC OR CAST-IN cc�NCRT£.TEES _ '. GW. EL. GW. EL. GW. EL. GW, EL.._ 2. SEPTIC TANK TO WITHSTAND H-10 LOADING TO BE CENTERED UNDER MANHOLE COVER, NOTES: UNLESS UNDER PAVEMENT, DRIVES OR I I ?-"MIN.OF 1/8' � � I, DIST, BOX TO WITHSTAND H-IO LOADING f " ° I UNLESS UNDER PAVEMENT DRIVES OR t0 I/2" f T P'" +L � '� d' Ft�+ •r' �- TRAVELED WAYS,WHEREIN H-20 LOADING I I TRAVELED WAYS WHEREIN H-20 LOADING WASHED 12"MIN. FILL G 1 t�W,•y' SHALL APPLY. U PRECAST _.� ____. r; I , I- SHALL. APPLY. STONE o r• 3. ALL PIPE CONNECTIONS AND CONCRETE MANHOLE COVER f j 4 DIST. I «•� �L t? r; 1 CONSTRUCTION TO BE WATERTIGHT BROUGHT TO FINi$H GRADE 1 BOX - 2, PROVIDE INLET TEE OR BAFFLE WHERE SLOPE OF -- y . w INLET I PIPE C7 CI d G� La G 7 C7 t 9 C3 PUMPEDIPE SYSTEMEDS 0.08 FT./FT OR IN - PVC INLET L_ _ ❑ o o a d ❑ 1 NOTE: _ i� 3. FIRST TWO FEET OF PIPE OUT OF DIST. ! , ai „ '? a� COVER LEACHING PIT TO GENERAL ;.� ♦ BOX TO B AID LEVEL.. , C� 3 • WITHSTAND H-10 LOADING NOTES: _ 1 p I ,• '.., ► - -t \. C7 L7 d C.=:1 id CI d r_7 PLAN VIEW '- U PRECAST C1 .y UNLESS UNDER �._. E L ' +aRMAL watE':R LEVEL i REMOVEABL.E ,� w ` 3/4"TO 1-1/2" ❑ A m �: c M 0 ❑ TRAVELED WAY WHEREIN �A of 1 1. THIS PLAN iS FOR DESIGN AND traa '.5 tfs it k p COVER L y ,< ._ _ 3 Al `I_S n '- DOU$LE LE AC;-IfVC €>t - H_.20 LOADING SHALL CONSTRI)CTION OF THE SEWAGE i b mj WASHED cy APPLY. - w o ci c c_ c� C� cD rZ3 ca - i i �� PROW". — LL j STONE DISPOSAL FACILITY ONLY. f LEr TEE, <i I WATERTIGHT r - —�— (n© fines JOIN,Sf tYP? 1 I 1 I„ x.YsTJ�! iRECAST i `..4 " � ` ° � W O C7 t ] C=] G7 .� c� i7'I� y rr� f ,r p prr> # sEPT>c `" 41 4 __ -� SEE ► i ' : I crrt-; 2, ALL CONSTRUCTION METHODS AND t{ O" MIN. OUTLET J'q; • LIOJeD OEFTH TEE �Y NOTE 2 I : f' o_ w TANK 4 16 4 INLET � � t� � q t� - - i ,- - r - + - � ' ® . MATERIALS SHALL CONFORM TO _k1�1 ) 4 OUTLET ! �;�- —1— MASS. D.E.Q,E. TITLE 5 AND LOCAL w _ _ _ I a l` p RCIARD ill HEALTH REGULATIONS. _ _ _. _ _ � , ,.. _ _ _ _ _ _ _� j _.._..---,--.•--- _______l ` .' o , DNA.._ _ -_ ,,.� __-•... BOTTOM BOTTOM ON LEVEL STABLE BAS' „ - LE\&LS ON t �--- LEVEL STA�t.;_ � - _ __ _ . --_ ____ i� DNA._ __ __ _ ________'•.- ..�, rot�l�i �,0,���'e� �,� r-1Vr��c.r��';�-�' '"t:' �v 1�Jt'►>�' } PLAN VIEW CROSSj] 1,441 -SECTION VIEW CROSS-SECTION BASE ._�___—.�.._._._ __ CROSS_- DATE: DATE: DATE: DATE: INVERT ELEVATIONS: /,Vv� �z 4,a TEST BY TEST BY: TEST BY: TEST BY: �f ir•c 'y'�:>P, INVERT AT BUILDING 9�4,. r- 6o% 1-I- Invert= WITNESSED BY: WITNESSED BY: WITNESSED BY: WITNESSED BY: I 4" INVERT AT SEPTIC TANK(in) _4�2"1 - i 4" INVERT AT SEPTIC TANK(out) ._ql _ PERC. RATE. PERC. RATE: PERC. RATE: PERC, RATE: -- lie MINJINCH _4MINJINCH MINJINCH MINJINCH �. .: s J � cl , 4" INVERT AT DIST. BOX(in) _ ` ``. f�(O . 4" INVERT AT DIST, BOX(out) , � 2 �w_ CONSTRUCTION NOTES: r � IJ � DATUM INVERTS AT LEACHING FACILITY: VERTICAL DATUM: �� 1 ) �> � �- "� r- s `� -' 10 D Q T A LE CHINGFACILITY, 1 � - , r - 4T eorTo of rT. - 5 BENCH MARK USED: F1 C H ' ' ,r `" T" ,; -56- s µ x 3 IS a' °.06 da`I-+©wao � Lt l Fill- x t �.� t .� 3 �l ir,1 !�`r' �f I �<•! ��� ��' t 7 �' ` � ""w i{J .Jt at ! t' ; � � � !G7,,,� ,9,yi I ,Y r,,,7 �'.�ii ; 1 DESIGN CRITERIA: DI SIGN FLOW ____BEDROOMS AT .z`.t�_G.P. ./D .,. L G.P.D, , , t __e.„„ ._:.-_' _-• ,� .� '`ram�'' t `` C Y Wl REQUIRED SEPTIC TANK: APE COD D SURVEY RV E `�e'.., ;`' .. ✓, "...•. ' �r^rw�p;Y+'"`,..�""'np6+° �"`,.' '. ..a."^,," 4"'.�,,e<t8.f"*'1 t. ,t-'�,:m'..•i'�:r ,6:d�.;;:;�5. t,".`.o-n�"` , . r .=� I _ CONSULTANTS A L. } E �, SEPTIC TANK PROVIDED: = l cc'Ir GAL. 3261 MAIN ST.!ROUTE 6A BARNSTABLE VILLAGE MA 02630 : ,�� �., ` SIZE OF LEACHING FACILITY REQUIRED: _ 1 I _ _ ..� 1 ,� (617) 362 8133 i p \ DESIGN PERC. RATE- MINJINCH MlN,IIVCH DIVISION OF BOSTON SURVEY CONSULTANTS INC ENGINEEPING • SURVEYING • PLANNING , — _ - * TITLE: f .a , ~* ` ;r<. _ - -. • - _ --- --- _ - SEWAGE DISPOSAL SYSTEM DESIGN SIZE OF LEACHING FACILITY PROVIDED: Jj�•.,{/ {/ LOCUS PLAN: `" ' ' PREPARED FOR: cn »„ pA k ,• x ! ` �. . � DATE: COMP./DESIGN: i CHECK: "/q\ f „ = , 4- DRAWN: PLAN VIEW SCALE: FILE NO: DWG. NO: JOB NO: C . y . : .. p , v Ar £:; FEET SHEET: OF: i k