HomeMy WebLinkAbout229 BRIDGE STREET AKA 198 BRIDGE STREET 198 Bridge Street
Osterville
A= 093-037
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S M E A D
No.3.153LON
UPC 13134
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No [ i, r r Fee / f
THE COMMONWEALTH OF MASSACHUSETTS Entered in coj,
PUBLIC.HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes
2ppIication for Zisposar 60stem Construction Permit
e5
Application for a Permit to Construct( ) Repair(� ) ,Upgrade(} bandon(--)' LMomplete System ❑IndividualjComponents
Location Address or Lot No./��/ n P �M g17/F9[�/Z/,Q(�' S�. GSA Ownner's Name,Address,and Tel.No.
Assessor's Map/ParcelI~ - '�, »t ✓`7
-^ - Installer's Name,,Address,and Tel.No. �' C� Designer's Name,Address,and Tel.No.
v,�t76 t�Xt1�t'/aT� C/.�A2�5 ` /V6
Type of Building:
b
Dwelling No.of Bedrooms Lot Size SO sq.ft. Garbage Grinder( )
Other Type of Building 6AR4 b6 oN b d�p No.of Persons Showers( )t Cafeteria( )
Other Fixtures
Design Flow(min.required) gpd Design flow provided Z7 gpd
Plan Date 9 i 9 / Number of sheets / Revision Date
Title
Size of Septic Tank 1, 0o i.Jw1C 1,t? 60W,,OType of S.A.S.
Description of Soil &!0i/ A 77%I 6/ ,
Nature of Repairs or Alterations(Answer when applicable) (ZL MOvO i. C P ANn I MS%O14- AS'
PTG2 P(ADJ - !IT 1 6 b b 1 w r
O e P i
Date last inspected:
Agreement: "" 1
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 e Environmental Code and not to place the system in operation until a Certificate of
Compliance has been issued by this Bo d o e lth.
SiggIT F� -��K_o,l✓ 77 Date
Application Approved by Date
ate"
Application Disapproved by Date
for the following reasons ~
Permit No. �V'� "/ "� Date Issued
---------------------------------------------------------------------------------------------------------------------------------------
THE COMMONWEALTH OF MASSACHUSETTS
1 (`� I �V r BARNSTABLE,MASSACHUSETTS
r M
' Certificate of Compliance
THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded)
Abandoned( p)by PASTo" &X CA V AT l O1J
at e �(Z i Obt, Sl. GSI YR V � has been constructed in accordance .
with the provisions of Title 5 and the for Disposal System Construction Permit Nn�2 /-1 -�( Rlated / 6 )�2_3
Installer PA5LOR C, t_xC.tk y b7,n-,, Designer 1DO W ru r&-t E na ,, z
#bedrooms Approved design flow gpd
The issuance of this P e t shall not be construed as a guarantee that the system wil -u--n-o i tio, as desig nAl.
Date G Cl Inspector 1q
No. / �l6� Fee
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION -BARNSTABLE,MASSACHUSETTS
Disposal 6pstem Construction Permit
Permission is hereby granted to Construct( ) Repair( ) Upgrade( Abandon( )
System located at �j ��I[)f j�j J� Cj _[� ,-)!C t1J1 14%
and as described in the above Application for Disposal System Construction Permit. The applicant recognized 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 Approved by
No.. Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in corn pnter:_
` Yes
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS
1�
2ppliLatlon for Misposal *pstem Construction Ferran
OApplication for a Permit to Construct( ) Repair( ) Upgrade( } Abandon( ) omplete System ❑Individualo,Components
r'.
Location Address or Lot No.`9$ givobs �`f, r�'l. Owner's Name,Address,and Tel.No. &4litLy
Assessor's Map/Parcel f47 0 sfvw-, ccmn ;66,5,-:
-r
I staller's Name dressd Tel Designer's Name,Address,and Tel.No.
I)i�M26 Y44 � 0,8 lL 00wN .ohs 6• o
G ygza.ra uT�,r' nT
Ix
Type of Building: g
Dwelling No.of Bedrooms Lot Size V sq.ft. Garbage Grinder( )
Other Type of Building 6AIZ4 bb Ora &D No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) O//40 gpd Design flow providedi gpd
Plan Date -/9` J / Number of sheets ! Revision Date
Title �1
Size of Septic Tank 1500 SAyJ7L AptW 60A�t 6rype of S.A.S. ,S' .Y2® I/J��S°f d7l/a A w
Description of Soil- /V AMCM6 ab/
Nature of Repairs or Alterations(_Answer when applicable) R51.IQUA L, 4!nd= CP /ONO IMS7;0k, QS'
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 e Environmental Code and not to place the system in operation until a Certificate of
Compliance has been issued by this Bo d o e Ith.
r, 9Date
Application Approved by Date
Application Disapproved by Date
for the following reasons
Permit No. / Date Issued
----------------- ---_----
r
Town of Barnstable
'"E, � Regulatory Servkes
Thomas F. Geiler,Director
* eaxrtsresi
, NAM ]Public Health Division
jsn �p' 'Thomas McKean,Director
200 Main Street,Hyannis,MA 02601
Office: 508-862-4644 Fax: 508-790-6304
Installer&Designer Certification Form
Date: IiJUJIq Sewage Permit# Assessor's MaplParcel 3
Designer: pnWN CAPr Installer: I Z p.CAVPri—lDN
Address: I M 9015 Cof§ Address: (q 4AN �f TIAN WAy
YAOMD UM PORE, MA 02-6 SON D W 1W, MA
On - ZG-
1 was issued a permit to install a I
(date) (installer)
E
septic system at D&G , ()5xyluf based on a design drawn by
(address)
1
_DANW 4, d dated !J l R�19
/ (designer
I certify that the septic system referenced above was installed substantially according to
the design, which may include minor approved.changes such as lateral relocation of the
distribution box and/or septic tank.
3
I certify that the septic system referenced above was installed with major changes (i.e.
greater than 10' lateral relocation of the SAS or any vertical relocation of any component
of the septic system) but in accordance with State &Local Regulations. Plan revision or
5unied as-built by designer to follow.
kA OF41g,.d. DANIELA.
'U OJALh�
(Installer's ignature " CIVIL,
��.46502
(Designer's Signature) (Affix Designer's Stamp Here)
PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF
1
COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS-BUILT CARD ARE
RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. r
Q:Health/Septic/Designer Certification Form 3-26-04.doc
4
l
dowrrcape engineering, inc. SIEVE SOILS ANALYSIS 198 BRIDGE STREET, OSTERVILLE
DATE OF REPORT: 9/17/19
JOB : GRAIN SIZE ANALYSISSIEVE TEST
SITE: 198 BRIDGE STREET, OSTERVILLE'
LOCATION: DCE TEST HOLE
SIEVE ANALYSIS Weight Sample(Grams): 166.3
SIZE ('WEIGHT RETAINED € % RETAINED % PASSED
------------- i:.............su m).........................'---------------------.................: .
.........:...
1" 0.0 0.0%: 100.0%
--------------i......................................................Y-----=---------------r--------�--_-`---_
3/411 0.0 0.0%i': 100.0%
------- :.. .:...:: :-------------- ------------
1/211 0.0' 0:0%: 100.0%
-------`------i .......................................
3/8" € 0,0 0.0% 100.0%
44
---------------................................. ....16.....:-------------------------------------o-
--------------1.................: ......... ...Y---------------------1: .............
#10 2.71 1.6%€ 98.4%
#20 28.4• 17.1 /o: 82.9/o
--------------.........................:............................Y---------------------1....................:................
#40 120.4 72.4%€ 27.6%
---- :.. .............................. •-------------------- . .. . .... .
#50 151.1 90.9% 9.1%
.-------------i...............::....................:::..............Y---------------------1..........:..:.......................
#80 163.5 98.3% 1.7%
-------------_:. .............................................-------------------- ................. ...
#100 -164.51 98.9%: 1 1%
.:..:.... ...::..... ....:.......
#200 165.5 99.5%6 0.5%
---------------........:............................................:------------- - --------------
PAN: 165.E 100.0% 0.0%
------ - ------ -•---- ------------ ------- -----
_. SAMPLE: 166.3
NOTE:TEST ON PASSING#4 ONLY, 0.01% RETAINED ON#4 <45% O.K.
RESULTS:
SOIL CLASSIFIED AS AASHTO A-1-b (GRAVEL&SAND) (UNCOMPACTED)
PERCENTAGE OF MATERIAL'PASSING 44 SIEVE
44 100% (TEST ONLY MATERIAL PASSING#4) OK
#5010%-100% OK
#100 0%-20% OK A
#200 0%-5% OK -
SAMPLE MEETS TITLE 5 FILL SPECIFICATION
>99%SAND.
RESULTS: PERMEABLE MATERIAL-CLASS 1<2 MINJIN. MATERIAL '
NONCOMPACTED %� ,r, F�;A y�
SOIL DESCRIPTION: MEDIUM/COARSE SAND I`�' "•!
-4
�l Al
KqE Town of Barnstable Barnstable
Inspectional Services Department AE-AmmscaCity U (((®®- 1
BARNSMAHLE,
y M ASS.
1639. ,0� Public Health Division
200 Main Street, Hyannis MA 02601 2007
Office: 508-862-4644
FAX: 508-790-6304 Thomas A.McKean.C.HO
CERTIFIED MAIL#7015 1730 0001 4987 9729
,Iuly 8, 2019 1
SOUSA, LORRAINE A & TOOMEY, LISA M TRS
143 TOPSFIELD ROAD
WENHAM, MA 01984
ORDER TO COMPLY WITH(STATE ENVIRONMENTAL CODE, TITLE 5
'vt+
The septic systems located at/ Bridge Street, Osterville, MA was inspected on
06/24/2019 by Frank Nunes III, certified Title V Septic Inspector for the State of
Massachusetts.
The inspection of the septic systems showed that the system "Fails" under the guidelines
of 1995 TITLE CMR 15.00) due to the following:
�• System 1 of 2
• ystem 2 of 2 (Main House) — Single Cesspool. It is the basement laundry
system.
I v You are ordered to repair or replace the septic system within two (2) years from the date
you receive this notification.
Failure to repair/replace the septic system within the deadline period will result in future
enforcement action.
PER ORDER OF THE BOARD OF HEALTH
Thomas McKean, R.S., CHO
Agent of the Board of Health
OASEPTUTitle V Inspection Report Letters MailingTailed or Needs Further I valuation Letters1227 Bridge Strect Osterville.doc
Commonwealth of Massachusetts
(P Title 5 Official Ins ection Form��<g 03 "637
,- p
Subsurface Se wag isposal System Form -Not for Voluntary Assessments, r
r kri�g�e St. df 2 systems this is the gara e) pla fF
roperty Address ►�� U
Sousa S
Owner
'
information is Owner's Name✓
required for every Osterville MA 02655 6/24/19 5
page. Cityrrown State Zip Code Date of Inspection
t� I
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.
A. Inspector Information 6I,r. (3 if b
Frank Nunes III
Name of Inspector
saa
Company Name
Box 841
Company Address
East Falmouth MA 02536
City/Town State Zip Code
508,272.6433 13010
Telephone Number License Number
B. Certification
I certify that: I am a DEP approved system inspector in full compliance with Section 15.340 of Title 5
(310 CMR 15.000); 1 have personally inspected the sewage disposal system at the property address
listed above; the information reported below is true, accurate and complete as of the time of my
inspection; and the inspection was performed based on my training and experience in the proper function
and maintenance of on-site sewage disposal systems.After conducting this inspection I have determined
that the system:
1. ❑ Passes
2. ❑ Conditionally Passes
3. ❑ Needs Further Evaluation by the Local Approving Authority
4. ® Fails
6/24/19
Insp is Signa Date
The system inspector shall submit a copy of this inspection report to the Approving Authority(Board
.of Health or DEP)within 30 days of completing this inspection. If the system 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 form should be sent to the system owner and copies sent to
the buyer, if applicable, and the approving authority.
Please note:This report only describes conditions at the time of inspection and under the
conditions of use at that time.This inspection does not address how the system will perform
in the future under the same or different conditions of use.
t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 18
I
q
Commonwealth of Massachusetts
ro Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
227 Bridge St. (1 of 2 systems this is the garage)
Property Address
Sousa
Owner Owners Name
information is
required for every Osterville MA 02655 6/24/19
page. Cityrrown State Zip Code Date of Inspection
C. Inspection Summary
Inspection Summary: Complete 1, 2, 3, or 5 and all of 4 and 6.
1) System Passes:
❑ I have not found any information which indicates that any of the failure criteria described
in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are
indicated below.
Comments:
2) System Conditionally Passes:
❑ One or more system components as described in the"Conditional Pass" section need to be
replaced or repaired. The system, upon completion of the replacement or repair, as approved by
the Board of Health, will pass.
Check the box for"yes", "no" or"not determined" (Y, N, ND)for the following statements. If"not
determined," please explain.
The septic tank is metal and over 20 years old*or the septic tank(whether metal or not) is structurally
unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass
inspection if the existing tank is replaced with a complying septic tank as approved by the Board of
Health.
*A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of
Compliance indicating that the tank is less than 20 years old is available.
❑ Y ❑ N ❑ ND (Explain below):
t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 2 of 18
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
227 Bridge St. (1 of 2 systems this is the garage)
Property Address
Sousa
Owner Owner s Name
information is
required for every Osterville MA 02655 6/24/19
page. City/Town State Zip Code Date of Inspection
C. Inspection Summary (cont.)
2) System Conditionally Passes(cont.):
❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if
pumps/alarms are repaired.
❑ 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):
3) 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.
a. System will pass unless Board of Health determines in accordance with 310 CMR
16.303(1)(b)that the system is not functioning in a manner which will protect public health,
safety and the environment:
t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 18
rr
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
227 Bridge St. (1 of 2 systems this is the garage)
Property Address
Sousa
Owner Owner s Name
information is
required for every Osterville MA 02655 6/24/19
page. Cityrrown State Zip Code Date of Inspection
C. Inspection Summary (cont.)
❑ 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
b. System will fail unless the Board of Health (and Public Water Supplier, if any)
determines that the system is functioning in a manner that protects the public health,
safety and environment:
❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within
100 feet of a surface water supply or tributary to a surface water supply.
❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water
supply.
❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water
supply well.
❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or
more from a private water supply well".
Method used to determine distance:
This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal
coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal
to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must
be attached to this form.
c. Other:
The system is a single cesspool which is not allowed in Barnstable
4) 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
t5insp.doc•rev.7/26J2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 18
Commonwealth of Massachusetts
- Title 5 Official Inspection Form
I' Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
227 Bridge St. (1 of 2 systems this is the garage)
Property Address
Sousa
Owner Owner's Name
information is
required for every Osterville MA 02655 6/24/19
page. City/Town State Zip Code Date of Inspection
C. Inspection Summary (cont.)
4) System Failure Criteria Applicable to All Systems: (cont.)
Yes No
❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded
or clogged SAS or cesspool
❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less
than Y2 day flow
❑ ® 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 water supply
well.
❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well.
❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet
from a private water supply well with no acceptable water quality analysis. [This
system passes if the well water analysis, performed at a DEP certified
laboratory,for fecal coliform bacteria indicates absent and the presence
of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,
provided that no other failure criteria are triggered.A copy of the analysis
and chain of custody must be attached to this form.]
❑ ® The system is a cesspool serving a facility with a design flow of 2000 gpd-
10,000 gpd.
® ❑ The system fails. I have determined that one or more of the above failure
criteria exist as described in 310 CMR 15.303, therefore the system fails. The
system owner should contact the Board of Health to determine what will be
necessary to correct the failure.
5) Large Systems: To be considered a large system the system must serve a facility with a
design flow of 10,000 gpd to 15,000 gpd.
For large systems, you must indicate either"yes"or"no"to each of the following, in addition to the
questions in Section CA.
Yes No
❑ ❑ the system is within 400 feet of a surface drinking water supply
❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply
❑ � the system is located in a nitrogen sensitive area (Interim Wellhead Protection
Area—IWPA)or a mapped Zone II of a public water supply well
t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 18
Commonwealth of Massachusetts
io Title 5 Official Inspection Form
I Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
227 Bridge St. (1 of 2 systems this is the garage)
Property Address
Sousa
Owner Owner's Name
information is
required for every Osterville MA 02655 6/24/19
page. City/Town State Zip Code Date of Inspection
C. Inspection Summary (cont.)
If you have answered "yes" to any question in Section C.5 the system is considered a significant
threat, or answered"yes"to any question in Section CA above the large system has failed. The
owner or operator of any large system considered a significant threat under Section C.5 or failed
under Section CA shall upgrade the system in accordance with 310 CMR 15.304.The system owner
should contact the appropriate regional office of the Department.
6. You must indicate"yes" or"no"for each of the following for all inspections:
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
El ® this inspection?
❑ ® Were as built plans of the system obtained and examined? (If they were not
available note as N/A)
® ❑ Was the facility or dwelling inspected for signs of sewage back up?
® ❑ Was the site inspected for signs of break out?
® ❑ Were all system components, excluding the SAS, located on site?
® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank
inspected for the condition of the baffles or tees, material of construction,
dimensions, depth of liquid, depth of sludge and depth of scum?
® ❑ Was the facility owner(and occupants if different from owner) provided with
information on the proper maintenance of subsurface sewage disposal systems?
The size and location of the Soil Absorption System(SAS)on the site has
been determined based on:
❑ ® Existing information. For example, a plan at the Board of Health.
® ❑ Determined in the field (if any of the failure criteria related to Part C is at issue
approximation of distance is unacceptable)[310 CMR 15.302(5)]
t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 16
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
227 Bridge St. (1 of 2 systems this is the garage)
Property Address
Sousa
Owner Owner's Name
information is
required for every Osterville MA 02655 6/24/19
page. Cityrrown State Zip Code Date of Inspection
D. System Information
1. Residential Flow Conditions:
Number of bedrooms(design): n/a Number of bedrooms(actual): n/a
DESIGN flow based on 31.0 CMR 15.203 (for example: 110 gpd x#of bedrooms):
Description:
Recreation room above the garage
Number of current residents: 0
Does residence have a garbage grinder? ❑ Yes ® No
Does residence have a water treatment unit? ❑ Yes ® No
If yes, discharges to:
Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes ® No
information in this report.)
Laundry system inspected? ❑ Yes ® No
Seasonaluse? ® Yes ❑ No
Water meter readings, if available(last 2 years usage(gpd)):
Detail:
Sump pump? ❑ Yes ® No
{ seasonal
Last date of occupancy: Date
t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 18
Commonwealth of Massachusetts
�n - ,9 Title 5 Official Inspection Form
!!. Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
227 Bridge St. (1 of 2 systems this is the garage)
Property Address
Sousa
Owner Owner's Name
information is
required for every Osterville MA . 02655 6124/19
page. Cityrrown State Zip Code Date of Inspection
D. System Information (cont.)
2. Commercial/Industrial Flow Conditions:
Type of Establishment: n/a
Design flow(based on 310 CMR 15.203):
Gallons per day(gpd)
Basis of'design flow(seats/persons/sq.ft., etc.):
Grease trap present? ❑ 'Yes ❑ No
Water treatment unit present? ❑ Yes ❑ No
If yes, discharges to:
Industrial waste holding tank present? ❑ Yes ❑ No
Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No
Water meter readings, if available:
Last date of occupancy/use: Date
Other(describe below):
3. Pumping Records:
Source of information: No pumping per owner
Was system pumped as part of the inspection? ❑ Yes ® No
If yes, volume pumped: gallons
How was quantity pumped determined?
Reason for pumping:
t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 18
Commonwealth of Massachusetts
Title 5 Official Inspection Form
I' Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
227 Bridge St. (1 of systems this is the garage)
Property Address
Sousa
Owner Owner's Name
information is
required for every Osterville MA 02655 6/24/19
page. Citylrown State Zip Code Date of Inspection
D. System Information (cont.)
4. Type of System:
❑ Septic tank, distribution box, soil absorption system
® Single cesspool
❑ f Overflow cesspool
❑ Privy
❑ Shared system (yes or no) (if yes, attach previous inspection records, if any)
❑ Innovative/Alternative technology. Attach a copy of the current operation and
maintenance contract(to be obtained from system owner) and a copy of latest
inspection of the I/A system by system operator under contract
❑ Tight tank. Attach a copy of the DEP approval.
❑ Other(describe):
Approximate age of all components,date installed (if known)and source of information:
Were sewage odors detected when arriving at the site? ❑ Yes ❑ No
5. Building Sewer(locate on site plan):
2'
Depth below grade: 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.):
t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 18
r
vi
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
227 Bridge St. (1 of 2 systems this is the garage)
Property Address
Sousa
Owner Owner's Name
information is
required for every Osterville MA 02655 6/24/19
page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
6. Septic Tank(locate on site plan):
Depth below grade: n/a
feet
Material of construction:
❑concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain)
n/a
If tank is metal, list age: years
Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No
Dimensions:
Sludge depth:
Distance from top of sludge to bottom of outlet tee or baffle
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
How were dimensions determined?
Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity,
liquid levels as related to outlet invert, evidence of leakage, etc.):
t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 18
Commonwealth of Massachusetts
Title 5 Official Inspection Form
l I° Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
227 Bridge St. (1 of 2 systems this is the garage)
Property Address
Sousa
Owner Owner's Name
information is
required for every Osterville MA 02655 6/24/19
page. Cityrrown State Zip Code Date of Inspection
D. System Information (cont.)
7. 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
Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity,
liquid levels as related to outlet invert, evidence of leakage, etc.):
8. Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan):
Depth below grade: n/a
Material of construction:
❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain):
Dimensions:
Capacity:
gallons
Design Flow:
gallons per day
t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 18
Commonwealth of Massachusetts
ro Title 5 Official Inspection Form
1. Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
227 Bridge St. (1 of 2 systems this is the garage)
Property Address
Sousa
Owner Owner's Name
information is
required for every Osterville MA 02655 6/24/19
page. Cityrrown State Zip Code Date of Inspection
D. System Information (cont.)
8. Tight or Holding Tank(cont.)
Alarm present: ❑ Yes ❑ No
Alarm level: Alarm in working order: ❑ Yes ❑ No
Date of last pumping: Date
Comments(condition of alarm and float switches, etc.):
*Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No
9. Distribution Box(if present must be opened) (locate on site plan):
Depth of liquid level above outlet invert n/a
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.):
t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 18
Commonwealth of Massachusetts
(o Title 5 Official Inspection Form
b Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
227 Bridge St. (1 of 2 systems this is the garage)
Property Address
Sousa
Owner Owners Name
information is
required for every Osterville MA 02655 6/24/19
page. Cityrrown State Zip Code Date of Inspection
D. System Information (cont.)
10. Pump Chamber(locate on site plan):
Pumps in working order: ❑ Yes ❑ No*
Alarms in working order: ❑ Yes ❑ No*
Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.):
* If pumps or alarms are not in working order, system is a conditional pass.
11. Soil Absorption System(SAS) (locate on site plan, excavation not required):
If SAS not located, explain why:
Type:
❑ leaching pits number:
❑ leaching chambers number:
❑ leaching galleries number:
❑ leaching trenches number, length:
❑ leaching fields number, dimensions:
❑ overflow cesspool number:
❑ innovative/alternative system
Type/name of technology:
t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 13 of 18
Commonwealth of Massachusetts
Title 5 Official Inspection Form
I. Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
227 Bridge St. (1 of 2 systems this is the garage)
Property Address
Sousa
Owner Owner's Name
information is
required for every Osterville MA 02655 6/24/19
page. Cityrrown State Zip Code Date of Inspection
D. System Information (cont.)
11. Soil Absorption System (SAS) (cont.)
Comments(note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of
vegetation, etc.):
12. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan):
Number and configuration single
3,
Depth—top of liquid to inlet invert.
Depth of solids layer 1
Depth of scum layer trace
Dimensions of cesspool , 600g
Materials of construction precast
Indication of groundwater inflow ® Yes ❑ No
Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation,
etc.):
c
i
t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 18
Commonwealth of Massachusetts
Title 5 Official Inspection Form
� Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
227 Bridge St. (1 of 2 systems this is the garage)
Property Address
Sousa
Owner Owner's Name
information is
required for every Osterville MA 02655 6/24/19
page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
13. 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.):
I
t5insp.doc-rev.7/26/2018 Title 5 Official Inspection form:Subsurface Sewage Disposal System•Page 15 of 18
Commonwealth of Massachusetts
- Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
227 Bridge St. (1 of 2 systems this is the garage)
Property Address
Sousa
Owner Owner's Name
information is
required for every Osterville MA 02655 6/24/19
page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
14. Sketch Of Sewage Disposal System:
Provide a view of the sewage disposal system, including ties to at least two permanent reference
landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters
the building. Check one of the boxes below:
® hand-sketch in the area below
❑ drawing attached separately
i
f
F f
t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 18
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
227 Bridge St. (1 of 2 systems this is the garage)
Property Address
Sousa
Owner Owner's Name
information is
required for every Osterville MA 02655 6/24/19
page. CitylTown State Zip Code Date of Inspection
D. System Information (cont.)
15. Site Exam:
❑ Check Slope
❑ Surface water
❑ Check cellar
❑ Shallow wells
Estimated depth to high ground water: 6,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: Date
❑ Observed site(abutting property/observation hole within 150 feet of SAS)
❑ Checked with local Board of Health-explain:
❑ Checked with local excavators, installers-(attach documentation)
® Accessed USGS database-explain:
TOPO mapping
You must describe how you established the high ground water elevation:
See above
Before filing this Inspection Report, please see Report Completeness Checklist on next page.
t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 18
Commonwealth of Massachusetts
�- - Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
227 Bridge St. (1 of 2 systems this is the garage)
Property Address
Sousa
Owner Owner's Name
information is
required for every Osterville MA 02655 6/24/19
page. Cityrrown State Zip Code Date of Inspection
E. Report Completeness Checklist
Complete all applicable sections of this form inclusive of:
® A. Inspector Information: Complete all fields in this section.
® B. Certification: Signed & Dated and 1, 2, 3, or 4 checked
® C. Inspection Summary:
1, 2, 3, or 5 completed as appropriate
4 (Failure Criteria)and 6 (Checklist)completed
® D. System Information:
For 8: Tight/Holding Tank—Pumping contract attached
i For 14: Sketch of Sewage Disposal System drawn on pg. 16 or attached
For 15: Explanation of estimated depth to high groundwater included
4 i
{
t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 18 of 18
ct!g i[_:G7 TO APPROI.IAL OF,
1 ►; , <<y sE� CONSERVATION.
/ COMMISSION
NO.-_8.9.-Z.�V - Fps.�....................._
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OFHEALTH
T- cm.41.............. OF..." � - .......
Appliratton for Uh4poil a1 Works Tomolrurtiun Prrutit
Application is hereby made for a Permit to Construct ( ) or Repair (V,) an Individual Sewage Disposal
System at:
-....._..... . l .t l . l> r Lot N o.
Vi Locat oo•Address
a ...... MA�.....................................
Owner Address
�.�fl- 1� Ate-- 6' ---------------•-•----•-•-•------ -•------____ ` Lil .---...._ .----•-•-•--------•
Installer Address
Type of Building Size Lot...
�p_ ...Sq. feet
U Dwelling No. of Bedrooms__o._. �I'Tl.X�._._.Ex Expansion Attic� g— p ( ) Garbage Grinder ( ) I
Other—Type of Building No. of ersons............................ Showers —
a g ------•--------------------- .------_P--- ( )....___Cafeteria ( )
Otherfixtures ------------ ----------------------••••• •--••-•-•••-------•-•--------•---••-•-•-••=•••••••-•••••••-• ......----
W Design Flow............................................gallons per person per day. Total daily flow............................................gallons.
WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter._.__________--- Depth................
x Disposal Trench—No_.................
7%Width.................... Total Length.................... Total leaching area___.___`_____._____sq. ft.
Seepage Pit No------------------_- Diariieter.................... Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
►-' Percolation Test Results Performed by.......................................................................... Date........................................
W
1.4 Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................
LL, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water._,._,__
O Description of
U ..................................................... 491F4426 •- ...............................
0 Nature of Repairs or Alterations—Answer when ap livable., ___. 1'I!�_.___l�l,o _..111J,�__� �9[LtP___�if1 �
Agreement
The unders�edagrees to install the aforedescribed Individual Sewage Disposal System in accordance with'{� �
the provisions of I i 1. . 5 of the State Sanitary jCode—The undersi ned further agrees not to place the syste in
operation until a Certificate of Compliance has issued b o r of health. 7?t-Ae��Signed-•-• •- ...___...-• .................... ....................
Dat
Application Approved B - . _____________________________ 6 �..._._..
ate
Application Disapproved for the following reasons---------------••---------------------------------------------------------------•--------------------•........._
................................••--•-----•-•---•-••--------•-------------------.._..-----••--
Date ,
PermitNo---- ------- Issued.-•---------------------------•--•-••------•-----.
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
� .� ...................OF.......
� C.................................
vw ifirtttr of ToutpliFattrr
T IS 0 CERTIFY, That the Individual Sewage Disposal System. constructed ( ) or Repaired )
by........... • •. -- .......0 �-------------------------•-------_-----------------------•-------•------------••-------------------------------•---•••--•-------•-------
r
` sa r
at 0. _ __�_. - - - - -.--------� ---------------------
has been installed in accordance with the provisions of TI`i'L:, 5 of The State Sanitary Code as described in the
application for Disposal Works Construction Permit No------- .2-n_191-______ dated................................................
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE................................................................................ Inspector..............._----------------.__..
j
f `
Y � I
.. THE COMMONWEALTH OF MASSACHUSETTS
r-
BOARD :OF HEALTH ` ~=
1 . ...................OF......:...........r`; r1 ...
Appliratinn for Biapniittl Works Tnnitrurtiun rruti t
Application is hereby made for a Permit to Construct ( ) or Repair (V.Q an Individual Sewage Disposal
System at:
�"�r i= 4'�'�I't"x` "- 3i" C"1���f,���=-.• `^fir-1,+tir.L�'1�
................_.................:.........:.....:_:.... --•--------.......--............... .............-..----;.-...........----------r'Lo----............---•-•---------•---......--•-•-
Location-Address _ r / or Lot No.
r _ r:'.:r.:~i h i _ r'',✓ Val b k;1•r_� Ate?......... ..................
1 Owner Address
a �.I ? �......� ,A± --- - ----------------------------•---- ---......------....... 1.. �'?.� �::� L ............
Installer Address ,r
Type of Building '( Size Lot... �!.. ?�- ...Sq. feet
Dwelling—No. of Bedrooms. ?'?!1 1�A.4 ►._.._Expansion Attic ( ) Garbage Grinder ( )
Other—T e of Building No. of persons............................ Showers — Cafeteria
a Other fixtures ------------------------------------------•--- --------------------•----.......
--.......
---..............
.....................
W Design Flow............................................gallons per person per day. Total daily flow............................................
WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................
x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft.
z Other Distribution box ( ) Dosing tank ( )
Percolation Test Results Performed by.......................................................................... Date........................................
aTest Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................
Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
....----•------------•-----•. .........................................................................................
.......................................Description of Soil Y •�d� :.�%�, p�x+ v+.o - y - a ^�aa.-Vc••�,tyt�s,es� ,. .
x
W ••----•------------- ---------------------...........-------•--••-•---------•-----••----••----•--•• . ---- --•---••----•---•--•--••--•---•....--•--------•--•••--•••••......•--------•-
UNature of Repairs or Alterations—Answer when ap licable...�_�'��_._....._ .�ECc....�`1��L___--it_�J. -__��, tl.� -_•C�
F?Ec.--C�...UU(_�-DIiJC�--"--- ..L.c!....Q...-- '?( TtlJC�......�?`_S.R5.N- ...........................................................
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of`'I L% 5 of the State Sanitary Code—The undersigned further agrees not to place the system in
is operation until a Certificate of Compliance has been issued by the board of health.
Signed.................................. ------------------•---------- --------
L/ Date
Application Approved BY �i % ------------------------- ---- j+� 'di1P
ate
Application Disapproved for the following reasons----------------------------------------------------------------------------------------------------------••..._
--....-•---------------------•-----------•--•--------------•-•-----•----•------------------•--•---------..-•-
Date
PermitNo......................................................... Issued..-------•---•---............-••••-......•--....•••---
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
:. `
Tntifirab ,af Tuutlifionrr
T IS 0 CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired 06
bY------- :< ±� ------4 '_ � ------------------------------------ ----------------------------..-.------------------.-------.-------------------------------
--- - - ------- --
sa �
at..------••... - -- - - .....--�- ------------------•--•------------
has been insta 1ed in accordance with the prov�s of TI i'L j of The State Sanitary Code as described in the
-
application for Disposal Works Construction Permit No..... rr ....../.?./. dated................................................
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE................................................................................ Inspector....................................................................................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
Y
'P/ jai
., ✓
Eioprroot Works Tono#rttr#ion motif
Permission is hereby granted--------- z" ------- -------------•-------------------------•--------........................-•-•--.
to Construct ( ) or Repair ali-Thdlvi.ual Se .Disposal.System
Street
a on the application for Disposal Works Construction Permit No.__----._--_.'_.-- Dated........................
TOWN OF BARNSTABLE
LOCATIONg/ 1L106S �55" ,. ��y Q�1 '�. SEWAGE# Z019
VILLAGE 0$; tVlQ ASSESSOR'S MAP&PARCEL 93 3
INSTALLERS NAME&PHONE NO. ASTOfLZC,AV lVJ
SEPTIC TANK CAPACITY 0 Q I 500 Pkam,? CA;4M R./L
LEACHINGTACILITY:(type)' f7Lmr, nrsi�q (size) CJ XZD'
NO.OF BEDROOMS -
OWNER' * �A/\
PERMIT DATE: "/ COMPLIANCE DATE:
Separation Distance Between the:
Maximum Adjusted Groom'-water Table to the Bottom of Leaching Facility A4, 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 1 Feet
FURNISHED BY
3341.
LOCATION SEWAGE PERMIT q0•
1 �� rf tS� � 2i J%
VILLAGE
INSTALLER'S NAME & ADDRESS
JOHN A. AALTO ;BACKHOE SERVICE
`: .:
Wed.-Bamstablef Mass. 02668
QUILDER OR OWNER
0-A T E PERMIT ISS-UEIY
DATE �-'COMPLI- AN_CE ISSUED
�,..�7
SYSTEM DESIGN: NOTES
LEGENDSYSTEM PROFILE MARK CORNERS OF
GARBAGE DISPOSER IS NOT ALLOWED LEACHING FIELD W/ 1. DATUM IS NAVD 88 t
99- EXISTING CONTOUR (NOT TO SCALE) REBAR SET 4" BELOW PROVIDE INSPECTION PORTS TO
PROVIDE MIN. 20" DIAM. WATERTIGHT GRADE WITHIN 3" OF FINISH GRADE 2. MUNICIPAL WATER IS EXISTING North
X 99•1 EXIST. SPOT ELEV. DESIGN FLOW: 1 BEDROOMS ® 110 GPD = 110 GPD ACCESS COVERS TO-WITHIN 6" OF FIN. GRADE
_ 2X sI.oPE D
-[99]- PROPOSED CONTOUR USE A 110 GPD DESIGN FLOW TOP FOUND. EL. 9.6' FILTER FABRIC 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. pay
MINIMUM .75' OF COVER OVER PRECAST 2� SLOPE REQUIRED OVER SYSTEM /�e,6' TOP 7.82' FINISHED GRADE- 4" LOAM & SEED OR PAVE AS REQ. 4. DESIGN LOADING FOR ALL PROPOSED PRECAST UNITS
TO BE
AASHO H-LQ
198.41 PROPOSED SPOT EL. SEPTIC TANK: 110 GPD (2) 220
NOTE: 2" MIN. WALL
TH1 PRECAST H-10 THICKNESS REQUIRED CLEAN FILL
TEST HOLE USE A 1500 GAL. SEPTIC TANK/ PUMP CHAMBER RISERS (TYP.) PROP. TEE 4"r�SCH40 PVC 5. PIPE JOINTS TO BE MADE WATERTIGHT.
PIPES LEVEL 1ST 2' +"PERFDRATED PVC 3'o.0 S=0.005 ?1,:, j
6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH
SLOPE OF GROUND LEACHING: *5•3'f 1500 GAL 3/4"-1-1/2" DOUBLE WASHED
310 CMR 15.000 (TITLE 5.)
110 GPD .74 = 149 SF REQUIRED 10" SEPTIC TANK/ :' 8" ONE LEACHING FIELD MIN BELOW INV. e
' 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO erid9UTILITY POLE / ( ) 4.95 " TEE PUMP CHAMBER :. •: 7.47' LEVEL BOTTOM SE USED FOR LOT LINE STAKING OR ANYOTHER
15' X 20' = 300 SF OK ,, COMBINATION o°o °o°o°o° ° ° ° ° °_ PURPOSE.
�0°°p°o°o°p° .•FIRE HYDRANT 300 SF X .74 = 222 GPD OK �� n". SEE DETAIL BELOW West
NOTE: NOT ALL SYMBOLS MAY APPEAR IN DRAWING , , 7.74' 7.57' 20.0
USE A 15 X 20 PIPE AND STONE LEACHING FIELD .. - 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. Locus o
o°o°o°o°°°°°°°°°°° ° °° 77iv_�
o°o°000°o°o°o°o°o°o°00000°o°o°o°o°o°o°o°o WATER-TEST D BOX FOR LEVELNESS 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED BWy
o,o,o ° 000000P,.�_�_�_o.o.o 0 5•0, WITHOUT INSPECTION BY BOARD OF HEALTH AND
6" CRUSHED STONE OR MECHANICAL PERMISSION OBTAINED FROM BOARD OF HEALTH.
COMPACTION. (15.221 (2]) 10. CONTRACTOR SHALL BE RESPONSIBLE FOR CALLING
ADJUSTED GROUNDWATER EL 1.8 DIGSAFE (1-888-344-7233) AND VERIFYING THE
(W.
( 2 SLOPE)% SLOPE) LOCUS MAP
APPROVED DATE BOARD OF HEALTH LOW PROFILE LOCATION OF ALL UNDERGROUND & OVERHEAD UTILITIES
MA
LEACHING PRIOR TO COMMENCEMENT OF WORK.
FOUNDATION 17' SEPTIC TANK/ 44' D' BOX 5' FACILITY 11. ANY UNSUITABLE MATERIAL ENCOUNTERED SHALL BE SCALE 1"=2000'f
PUMP CHAMBER REMOVED BENEATH AND 5' AROUND THE PROPOSED ASSESSORS MAP 93 PARCEL 37
*THE INSTALLER SHALL VERIFY THE LOCATIONS OF ALL LEACHING FACILITY.
UTILITIES AND ALL BUILDING SEWER OUTLETS AND ELEVATIONS 12. EXISTING LEACHING FACILITY SHALL BE PUMPED AND LOCUS IS WITHIN FEMA FLOOD ZONE VE (EL 14)
PRIOR TO INSTALLING ANY PORTION OF SEPTIC SYSTEM REMOVED OR PUMPED AND FILLED WITH CLEAN SAND. AS SHOWN ON COMMUNITY PANEL #25001CO757J
13. INSTALLER TO CONFIRM SUITABILITY OF ELECTRICAL DATED 7/16/2014
/ ! SYSTEM FOR PUMP INSTALLATION. ELECTRICAL PERMIT
REQUIRED.
I
� o �
w S8T4507 E 5 �• �j ACCESS FOR ROUTINE MAINTENANCE COVERS TO GRADE
MUST BE PROVIDED FOR ZABEL FILTER.
N 228.ffi0' INSTALLER MUST FOLLOW ALL 250 GAL. RESERVE
lq `� ---DR1 EW TO BRIDGE STREET MANUFACTURER'S SPECIFICATIONS FOR PROVIDE QUICK DISCONNECT FOR PUMP
M N
00 N_1M i �� PROPER FILTER INSTALLATION
Z S87 5' POErx BOAT
\� ALARM AND CONTROL PANEL
50. Epp 0' RAMP TO BE INSTALLED INSIDE
s 5 \ DECK BUILDING. ALARM TO BE ON INV. IN 4.95' TEST HOLE LOGS
3 �
SEPARATE CIRCUIT FROM PUMP NO LOW POINTS
F4Q�111. ZABEL FILTER 2" PRESSURE LINE ENGINEER: CRAIG J. FERRARI, SE #13871
IN AREA SHOWN. FLOAT SWITCH ALARM ON (Al0) 19" TEE SLOPE TO DRAIN BACK
PROVIDE NER AT 5
6 O 6,, I ELEV. 7.8', BOTTOM AT EL. 3.8't �' SETTINGS: OUTLET TEE W/EXTENSION
WITNESS: DAVID W. STANTON RS
N o ` " "PUMP ON 6 1000 GAL. CHECK WEEP LHOLES DATE:
910/ /
2019
5. REMOVAL OF UNSUITABLE SOIL REQUIRED A 5 WORKING RANGE 6" THIS SIDE
ul d- AROUND PERIMETER OF LEACHING FACILITY,LO J DYERS SRM 4 < 2 MIN INCH
p DOWN To SUITABLE SOIL LAYER. REPLACE OF BAFFLE SUBMERSIBLE 4 10 HP PUMP PERC. RATE _ /
1 WITH CLEAN MED; SAND. TO MEET s PUMP OFF 12" SYSTEM OR EQUAL) -138
SPECIFICATIONS OF 310 CMR 15.255(3) CLASS I SOILS P# 19
7
o � PAVED Z oo�0000 o�moo 000c>
°s• '\ '` DRIVE 1500 GAL. SEPTIC TANK/ s" BAFFLE
PUMP CHAMBER COMBINATION 0„ Q 0„ ELEV.
Q
ELEV.
o i'-`� '•` (NOT TO SCALE) 7� 70
GARAGE
FILL FILL
' SLAB = 6.4 42 - 42"
ONE BEDROOM •� \ BUOYANCY CALCS:
500
L.
11,000 IDS
ABOVE " 1.59' x1 .5 5 x�10.2CX�62.4 J= 6578 LBS UP (OK) A A
\ AVED
LS
LS
IVE •�•. 10YR 2/1 10YR 2/1
BENCHMARK: 50" 2.8' 48"
GUEST GARAGE SLAB M ,/' B B
HOUSE =6.4' NAVD88 -----M •/'•
.�• "OYSTER ' LS LS
r SHANTY"
6
a " 10YR 5/8 60„ 10YR 5/8 20
00NNECTS Cr- `
60
TO MAIN 2'
5 / HOUSE SAS L---J
WEST OF
LOCUS DECK C C
SIEVE
k G-W ADJ. DATA: E
h LOT 2 WELL: MIW 29 MS MS
58,000 S.F.f
ZONE: A
ADJ: 1.1'
AUGUST 2019 108» 10YR 7/4 _2' 108" 10YR 7/4 -2'
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s DATE: SEPTEMBER. 19, 2019
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