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Home My WebLink About0108 ALTHEA DRIVE - Health 108- lth.ea Drive Barnstable � I A— 334 - 046 ' 0 a ° f 5 C N CC 4 r. t t I J TOWN OF BARNSTABLE LOCATION 39) libel aI V a- SEWAGE # 'J VILLAGE AA AVI 0 111 D ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO.fVMCJ=&.a25 " SEPTIC TANK CAPACITY Ono LEACHING FACILITY: (type)O (size)5M Q&IIons NO. OF BEDROOMS BUILDER OR OWNER PERMITDATE: 22 COMPLIANCE DATE: 3h k 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 'wWds t within 300 feet of leaching facility) k'. Feet Furnished by j � ,� � 7a Gp 1 i 41 , 5 i -4 54 ,S ' (a — 311 Commonwealth of Massachusetts Title 5 Official Inspection For Subsurface Sewage Disposal System _ "t y em Form No •�t for Voluntary Assessments n� ,M Property Address ®� ev Owner ®°� �� z• Owner's Name information is required for every page. City/Town A,4 7 State Zip Code Date of Inspe tion 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. Important:When filling out forms A. General information on the computer, use only the tab key to move your 1 Inspector: cursor-do not , use the return ar key. Name of Inspector OJQCompany Name q Company Address rerrn Cityrrown 1 ®� A6'0 �r�j ®n State Zip Code Telephone umber ®® License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5 (310 CMR 15.000). The system: ❑ Passes ❑ Conditionally Passes ails ❑ Needs Further Evaluation by the Local Approving Authority «� NInspectSignature 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 should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ""This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. 15ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 17 J J Commonwealth of Massachusetts W Title 5 Official Inspection For Subsurface Sewage Disposal System Form -Not for Voluntary Assessments Property Address Owner t 4 C information is Owner's Name required for every _ C cA IM 01 t-.,4 page. City/Town State Zip Code Date of Inspe tion Bo Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ❑ I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: 13) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass"section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes", "no"or"not determined" (Y, N, ND)for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old*or the septic tank(whether metal or not)is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND (Explain below): t5ins.doc-rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 - Commonwealth of Massachusetts W Title 5 Official Inspection For Subsurface Sewage Disposal System Form - Not for Voluntary Assessments Propert dy AA d e sr s 6d/ 'ea' Owner , �� i information is Owner's Name required for every ?7 page. City/Town B. Certification (cont.) State Zip Code Date of Ins ction ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if Pumps/alarms are repaired. B) System Conditionally Passes (cont.): El 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 pass inspection if(with approval of Board of Health): box. System will ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND(Explain below): C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering derin vegetated g g d wetland or a salt marsh t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 Commonwealth of Massachusetts W� Title 5 official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments �M ®� Property Address Owner Ci Owners Name information is � required for every (/� ` /^n page. City/Town SOo'� State Zip Code Date of Inspe tion B. Certification (Cont.) 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. The❑ system has a Y se ti supply. p c tank and SAS and the SAS is within a Zone 1 of a public water ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance: **This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate "Yes" or"No"to each of the following for all inspections: YFF, Backup of sewage into facility or system component due to p overloaded or clogged SAS or cesspool ❑ ®�Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ Static liquid level in the distribution box above outlet invert due to an overloaded r clogged SAS or cesspool ❑ Liquid depth in cesspool is less than 6"below invert or available volume is less than '/z day flow t5ins.doc-rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 Commonwealth Of Massachusetts Title 5 Official Inspection For Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 4M 10 V 41 Property Address Owner information is owner's Name required for every . page. City/Town State Zip Code Date of Ins ectio B. Certification (cont.) Yes No ❑ Required pumping more than 4 times in the last year NOT due to clo ed or obstructed pipe(s). Number of times pumped: gg ❑ Any portion of the SAS, cesspool or privy is below high ground water elevation. ElAny portion of cesspool or privy is within 100 feet of a surface water su I tributary to a surface water supply. pp y°r ❑ 15 Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ Any portion of a cesspool or privy is within 50 feet f o 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, rovided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] El The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. 21l'Oe❑ 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. I.) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes"or"no"to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ' ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area—IWPA)or a mapped Zone II of a public water supply well If you have answered"yes"to any question in Section E the system is considered a significant threat, or answered "yes"in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal system-Page 5 of 17 Commonwealth of Massachusetts v� Title 5 Official Inspection Fo rm Subsu rface Sewage Disposal System Form - Not for Voluntary Assessments Property Address 44e" Owner Owner's Name /- C/s information is required for every ru dM�Ol 4 t � D�G�� . page. Clty/Town Co Checklist State Zip Code Date of Ins ecti Check if the following have been done. You must indicate"yes"or"no"as to each of the following: Yes No ❑ 'm in information p g was provided by the owner, occupant, or Board of Health ❑ Were any of the system components pumped out in the previous two weeks? ❑ as the system received normal flows in the previous two week period? ❑ Have large volumes of water been introduced to the system recently or as part of this inspection? Were as built plans of the system obtained and examined? (If they were not available note as N/A) Was the facility or dwelling inspected for signs of sewage back up? Was the site inspected for signs of break out? Were all system components, excluding the SAS, located on site? ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ❑ Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS) on the site has be n determined based on: Existing information. For example, a plan at the Board of Health. ❑ Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable)[310 CMR 15.302(5)] D. System Information Residential Flow Conditions: Number of bedrooms (design): — Number of bedrooms (actual): — DESIGN flow based on 310 CM 15.203 (for example: 110 gpd x#of bedrooms): �® 15ins.doc•rev.6/16 Title 5 Official inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments /® l_1�G4ee� 4, Property Address r� 4e, Owner Owner's Name � information is required for every _ (�(/�A �� v page. CttylTown State ZipCode s Date of In ectio De System Information Description: ® 041 IlO✓1 -� v+ Number of current residents: Does residence have a garbage grinder? ❑ Yes �o Is laundry on a separate sewage system? (Include laundry system inspection information in this report.) ❑ Yes No Laundry system inspected? ,�,/ El Yes ;;No o Seasonal use? El Yes Water meter readings, if available (last 2 years usage (gpd)): Detail: Sump pump? ❑ Yes No Last date of occupancy: C L-t✓!�e. Date Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CM 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17 i Commonwealth of Massachusetts v Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments n A, Property Address Owner information is Owner's Name / required for every (/�� 1�� / �Cg page. C.Ity/Town QQQ State A` Zip Code Date of Insp cti n D. System Information (cont.) ::: Last date of occupancy/use: Date Other(describe below):. General Information Pumping Records: Source of information: Was system pumped as part of the inspection? ❑ Yes o If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of Sy , Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner)and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a co of the DEP copy approval. ❑ Other(describ e): e . t5ins.doc-rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments Property Address Owner information is A f Owner's Name �+ required for every 7 �� page. Clty/Town State Zi Code P Date of Inspe on D. System Information (cont.) Approximate age of all components, date installed if kno n)and source of information: 199(9 Were sewage odors detected when arriving at the site? ❑ Yes No Building Sewer(locate on site plan): Depth below grade: feet Material of construction: ❑cast iron 40 PVC ❑ other(explain): — ---- --. - __ Distance from private water supply well or suction line: feet Comments (on condition of joints, venting, evidence of leakage, etc.): Septic Tank(locate on site plan): Depth below grade: feet Material construction: concrete ❑ metal ❑fiberglass g ❑ polyethylene ❑other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ -No Dimensions: Sludge depth: _ t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments Property Address / �® Owner Owner's Name information is required for every ��V'rV� c �q 1 ` � ®ag xq a/t7 ®� page. Clty/Town Code P Date of Inspe tion D. Systems Information (cons.) State Zi Septic Tank (cont.) Distance from top of sludge to bottom of outlet tee or baffle 2Y ®/ ®/Scum thickness -s--O�ry s< Distance from top of scum to top of outlet tee or baffle f3 Distance from bottom of scum to bottom of outlet tee or baffle How were dimensions determined? 0 "�" /✓� Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): 7�1 ��4422- Grease Trap (locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene El other(explain): Dimensions: Scum thickness Distance fro m top Of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal system-Page 10 of 17 Commonwealth of Massachusetts N Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments Property Address Owner J,�Qbi information is Owners Nam?�v required for every Oftm� ��1 page. City/Town State Zip Code Date of Ins ctio :�� D. System information (cont.) Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank(tank must be pumped at time of in (locate on site plan): Depth below grade: Material of construction: ❑concrete El metal ❑fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day -—- Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: _ Date Comments (condition of alarm and float switches, etc.): Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No t5ins.doc-rev.6/16 - Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments `M ®� �4l Property Address � Owner Owner's Name G - IT information is / required for every (/�Mp1 ��Q�! �_0 page. City/Town ®—` l State Zip Code :Date of Insp do D. System information (cont.) Distribution Box (if present must be opened) (locate on site plan): Depth of liquid level above outlet invert 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.): 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. Soil Absorption System (SAS)(locate on site plan, excavation not required): If SAS not located, explain why: t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17 e r Commonwealth of Massachusetts F Title 5 Offic ial Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments Property Address 4 Owner Uwner's Name /^ information is (/ required for every _ AA ` — �.- page. City[Town D. System Information (cont.) State ZipCode Date of Ins ctio Type: m 'd 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: Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): -7gC 4 A4 ee Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No t5ins.doc-rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal system-Page 13 of 17 Commonwealth of Massachusetts Title 5 official Inspection For Subsurface Sewage Disposal System Form -N t for Voluntary Assessments ®� / g 2 � A /� Property Address /� ®� Owner ® 1 Owner's Name , // information is "� required for every (/l y •i�'1 r.,1� ;/ page. City/Town State ZipCode Date of Inspe ion D. System Information Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy(locate on site plan): Materials of construction: ---- _ Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5ins.doc•rev.6116 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17 f Commonwealth of Massachusetts y Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments Ne �p � Property Address VVVV i�/ /�s Owner Owner's Name information is required for every 6-(A V-1 V-U. 91-4 p AU ®� p� page. Cityrrown State Zip Code Date of Ins ect' n -------------------------------------------------------------------------- ®. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where blic water supply enters the building. Check one of the boxes below: hand-sketch in the are a below ❑ drawing attached separately I /UT /4F/ --,;T�� T99�/ - 016 �rllnN t5ins.doc-rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 15 of 17 f Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ay- Property Address , ! Owner Owner's Name / a information is required for every (A` F°7 page. City/Town State ZipCode Date of Insp ction D. System Information (cont.) Site Exam: ❑ Check Slope ❑ Surface water ❑ Check cellar ❑ Shallow wells Estimated depth to high ground water: 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) LK Checked with loc oard of Health -explain:__ Iq ❑ Checked with local excavators, installers-(attach documentation) ❑ Accessed USGS database-explain: You must des ribe ho you established the hi h gro nd ater elevation: ec Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 I ' Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments < �M Property Address ® Owner Owner's Name information is required for every page. CitylTown State ZipCode Date of Ins ectio E. Repo Completeness Checklist /111ns-uection Summary: A, B, C, D, or E checked "Incerection Su mmary D(System Failure Criteria Applicable to All Systems) completed Xmkech Information—Estimated depth to high groundwater St of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins.doc•rev.6116 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 17 of 17 No.cpe/lIK- / Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes ftplitation for r3ispo3alApstem ConstrUttion permit Application for a Permit to Construct( ) Repair( ) Upgrade V Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No.102) ALrHtA Wlvidow r�s Name,Ad jress,la}id Assessor's Map/Parcel 3 �r �is — 1—�WE Designer's Nann Address and 1.No. Bass +_1X � �� t�EC2-1JU& Type of Building: Dwelling No.of Bedrooms Lot Size A 45 9 b sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided 440 gpd Plan Date 14 r Number of sheets Revision Date Title Size of Septic Tank ,a 0 11 p �2�(�} Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) tj n �0IAu Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Beqdjof Ijeal .j Si ed �i� . Date Application Approved by Date (p Application Disapproved by Date for the following reasons Permit No. l O' Date Issued I 1 r _. n• ` �' Fee d "'�✓ w THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC-HEALTH DIVISION QWN'.OF BARNSTABLE, MASSACHUSETTS Yes - - , Nplitation for V�tlD3 8trm, Construction Permit Application for a Permit to Construct( ) Repair( ) Upgrade( Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No.i O(�) L - V 1 V.d Owner's Name,Addre and Tel.No. ' ��,,e OS � 1� Assessor's Map/Parcel � "`� Z°i t)5hk6- � l -R IU _ I stale 's�Nam ," ddre an "Tel Designer's N Address and el.No. I j /1! EAST bnQWIS ARAJ Type of Building: r ' y Dwelling No.of Bedrooms ' Lot Size p t3 sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) �. gpd Design flow provided 446 gpd Plan Date 4"/4_1A Number of sheets � Revision Date Title ,, U 'KEN M i-"C_1-r-l_ r Size of Septic Tank , 0 Type of S.A.S. Vtar Description of Soil Natur�)e1 of Repairs or Alterations(Answer when applicable) A � L �N h .D Date last inspected: Agreement: . t , - The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in - accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has.been issued by this Bo d of Health. Si ed + Date Application Approved by Date I T- Application Disapproved by Date for the following reasons Permit No. '' 1 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(10< Abandoned( )by /� ( ,I A c at 100 15A DVAV6 has been constructed in accordance j q J i with the provisions of Title 5 and the for Disposal System C,olnsstrruction Permit No. 1t -f6jdated 6 r1 t 1/ p Installer �' V 1 i , jl��{Cr� Designer � } C� � � .„�•� j, n #bedrooms Approved design flow _ and The issuance of this permit'shall Lot be/coonstrued as a guarantee that the system wj 1 fiu�ctibn as s gned. i��._.._.,.�,�• Date ,"S// Inspector � r ---- ---- - --- ---------------------------------=---------- ----- — - - No. (`:`{s � Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION -BARNSTABLE,MASSACHUSETTS Disposal 6pstem Construction permit Permission is hereby granted to Construct( ) Repair ) Upgrade(y/) Abandon( ) System located at 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 mint b= completed within three years of the date of this permi" t. Date 1 ) Approved by Town of Barnstable Regulatory Services Richard V.Scab,Inter* Director' MAMMI Public Health.Division ,asp. Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 ° Fax::508 790304 Installer&:Designer Certifncation:Form Date:. Sewage Permit# Assesss or' Map\Parcel..3371 Designer: Qu tm "C^HDIYlA S._N1C..lrE.U�ANr�.E, Irtstauer..., . p ?. Address: I.,0• :Ba X._e 1 J Address. E. QENOl r fnA 0?a6`h On. d rwas.issued ti permrt to:insLdl:a, O( ae' (installer) septic sYstem a _168 AU- EA DAN t based oo,a deli,�` drawn by (address) i,11 ii�++� THONIAS MCLP_U_AnJ.P.E. dated: "t'T j8 /1:certify that the septic system referenced above was:installed..substantially accordnng.to the design, which may include minor approved'changes such as lateral relocation of the distribution.box and/or septic tank. Strip out (if required) vvas inspected and:the: soils were found satisfactory: 1 certify that the septic system referenced above was installed with.major.changes (Le. greater than.l0' lateral relocation.of the SAS or any vertical relocation.of any:component of the septic system)but in_.accort�nce with State.&- Local Regulations. Plan revision or certified as-built by designer to follow. Strip out(if required)was inspected-:and`the:soils were found satisfactory.: 7 certify that the system: fe enced above was constructed ,` coin fiance with.the terms o MY lette (if pplieable); (Installe`r's:,Si tune) ta 17 esi er's Si a .,e Affix Desi ef` Stam Here: PLEASE.RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION: CERTIFICATE OF:COMPLIANCE WILL NOT .BE :ISSUED UNTIL BOTH:THIS..FORM AND:AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE TUBLICHEALTH DIVISION: THANK YOU. Q:iSeptic,\Designer Catification`FoiiiiRev 8-14-13,doc I Town of Barnstable P# 5 S $ y Department of Regulatory Services Public Health Division Date 9 ' 200 Main Street,Hyannis MA 02601 �16p Mla� , Date Scheduled 3- 30• 18 Time Fee ft 1 D001 Soil /ySuitability Assessmeent for Sewage {�Disposal Q Performed By:�I� A /� GLSLLA N.P C.a Witnessed By:DOM J/r;��f•I�I�, 1�� LOCATION&,GENERA);INFORMATION y Location Address Owner's Name �•/�i� m,�'r�1�L� t WS A UT06A MV15 Address `og�+7,'Vr TH" Gv r.1 m A Qv1 rJ 108 �^/y� S MCt,t=l U Assessor's Map/Parcel: 1✓ [/ Engineer's Name 7 7 " -A NEW CONSTRUCTION REPAIR Telephone# s08k 36 O �r Land Use S Slopes(%) 5/• A Surface Stones _J r,C.) Distances from: Open Water Body�/ M Possible Wet Area A ft Drinking Water Well LVA ft Drainage Way It Property Line Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&pert tests,locate wetlands in proximity to holes) e56.3`� TO I - l ri N -$ 4 Ty• y . 133.61 Tp•z A CrPto DPJ vt Parent material(geologic) WK)M It Depth to Bedrock Depth to Groundwater: Standing Water in Hole: ��/w�. Weeping from Pit Face NoM b Estimated Seasonal High Groundwater > `• PET t.RMINATION FOR•SEASONAL'HIGH:WATER TABLE " Method Used: Depth Observed standing in obs.hole: in. Depth to soil mottles: in. Depth to weeping from side of obs.hole: in. Groundwater Adjustment ft. Index Well# Reading Date: Index Well level Adj.factor Adj.Groundwater Level PERCOLATION TESTS nafe3.3d•1, ;mega` , Observation Hole# 1 � Time at 9" S o + Depth of Perc • �Ci—� ` Time at 6" 7 vo Start Pre-soak Time @ Time(9"-6") - End Pre-soak <5 S Rate Min./Inch Site Suitability Assessment: Site Passed' Site Failed Additional Testing Needed(YN) Original: Public Health Division Observation Hole Data To Be Completed on Back---------- ***If percolation test is to be conducted within 100'of wetland,you must first notify the Barnstable Conservation Division at least one(1)week prior to beginning. Q:VSEPTICtPERCFORM.DOC DEEP OBSERVATION HOLE LOG Hole#, Depth from Sail Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Mansell) Mottling (Structure,Stones,Boulders. Consistent %Gravel) f1- � A �.t �a'{R-3�Z NO V (L DEEP OBSERVATION HOLE LUG,' Hole#. Depth from Soil Horizon Soil Texture Soil Color Soil Other q Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistent %Gravel D O A I.S fto4 3 z. 21 10 1 Z L 2• DEEP.OBSERVATION HOLE LOG,j Role# ` Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Mansell) Mottling (Structure,Stones,Boulders. Consisten %Gravel tZ e A fl R- 3z 7- D IPA i L LA , DEEP.OBSERVATION HOLE LOG; Hole# , Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Mansell) Mottling (Structure,Stones,Boulders. Consistency,%Gravel �- D A L� 31 1- 3a 13 LA 1aKIZ R Flood Insurance Rate Man: Above 500 year flood boundary No_ Yes Within 500 year boundary No— Yes Within 100 year flood boundary No_ Yes DDe th of Naturally Occurrine Pervious Material Does at least four feet of naturally occurring pe pps material exist in all areas observed throughout the area proposed for the soil absorption system? E If not,what is the depth of naturally occurring p rvid ous material? Certification I certify that on Ills—(date)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with the required traini . ,expertise and eTenreschbed in 310 CMR 15.017. Signature Date �• 0 Q:\SEPTlCffRCFORM.DOC /� rr SiiE Tpk� Town of Barnstable Barnstable ly Regulatory Services Department, j' '�� + BARNSSABLE. Public Health Division m �ATFD Ma+A 200 Main Street Hyannis MA 02601 2007 Office: 508-862-4644 Richard V.Scali,Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL#7015 1730 0001 4988 0206 March 22, 2018 Mitchell, Joseph W JR PO Box 419 Cummaquid, MA 02637 Dear Mr. Mitchell, On March 21, 2018,the Town of Barnstable Board of Health voted to eliminate Section 360-9.1 of the Town of Barnstable Code. This means septic system inspections no longer fail based solely on the observation's of the liquid levels inside leaching pits. Recall that the septic system located at 108 Althea Drive, Barnstable,MA was inspected on 02/07/2018 by Mark Polselli, certified Title V Septic Inspector for the State of Massachusetts. The inspection of your septic system showed that the system had failed based upon the liquid level in your leaching pit. However due to the elimination of this particular provision, it is now suggested that you have your septic system evaluated again in approximately six months to one year. If you have any questions,please contact me at 508-862-4644. Sincerely, .. o c ean, R.S., Agent of the Board of Health CC: Mark Polselli Q:\SEPTIC\Title V Inspection Report Letters Mailing\Failed or Needs Further Evaluation Letters\108 Althea Drive Barnstable.doc THE ram, Town of B arnn9table 1 AIANGT/AT-C 4 - ' Regulatory Services De 'artmen.t P Public Health Division - 200 Main Street,Hyannis MA'02601 t Office: 508-8624644 - Richard ScA Dircctu FAX 508-790-6304 Thomas A-McKean,CEO Feb 6, 2007 Rev. 5111116 DEADLINES TO'REPAIRTAMEASYSTEMS (Town Code §360-44and Title V: 310 CMR 15.000) _ An`)e'marked in the o is the failure criteria and associated repair deadline 60 DAY DEADLINE CRITERIA . ❑Discharge or ponding of effluent to the surface of the ground ❑Pumping more than 4 times during the last year not due to clogged or obstructed K - pipe :. o Backup of sewage into the house due to an overloaded or'clogged SAS,or cesspool ONE(1)YEAR DEADLINE CRITERIA ❑Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑Any portion of the SAS, cesspool, or privy below high'groundwater elevation ❑Any portion of the cesspool within a Zone.1 to a,public well ❑Any portion of a cesspool within 50 feet of a private water supply well with no acceptable water quality analysis."(This system passes if the water analysis indicates the well is free from pollution). TWO (2)YEAR DEADLINE CRITERIA 0 Single*Cesspool ❑Any`-`conditionally passed systems" (broken cover,relocation of a pipe,relocation of a driveway due to H-10 components, etc) N Leachin.g pit or cesspool,with high liquid level,<12"below inlet(per Town Code 360-9.1) ❑Leaching facility with standing liquid level at or above the invert pipe (per Town Code §360-20 h) OTBER Repair deadline: QASEPTIMDEADLINES To REPAIR FAILED SYSTEMS,doc THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Allpfiration for Uhipmal Works Tomdrurtion ai /pli tion is eby made for a Permit to Construct (/or Repair an Individual Sewage Disposal em at: Location-Address or Lot No. "er Address ............. 11".stall - PQ .C� Type of Building Size Lot..��!��F_Sq. feet 04, Septic Tank—Liquid capacity/Mt2gallons Length.-F.'-.0".. Width..9'-'M.O.- Diameter---------------- Depth--- Z Other Distribution box (L,< Dosing tank ( ) Percolation Test Results Performed by.... Date..... ------------------------------------ The undersigned agrees to install thed Individual Sewage Disposal System in accordance with Signedthe provisions o 1- The undersigned further agrees not to place the system in in 1tarpy , board of li I operation until a Certificate of Compliance has been * su th -- '�f-'-�—��--uu� Date *' Date Application Disapproved for the following reasons:................................................................................................................ .......................................................................................................................................................................................................... • r ... ,5... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ..._ .............I......OF........ ............� r1 I l f'lIZ / ------•---..-....._....__. Appfira#ion for Bispoii ai Workii Tonstrurtiun ramit Application is hereby made for a Permit to Construct (V/or Repair ( ) an Individual Sewage Disposal System at: ................_..--------......_....---------....----------• .........................! %.. ..r%fG.:.... Location-Address or Lot No. ......................_.......................................................................... .......•••--•--.......---•-•-•--•-•..._._.....---•-...-----.......•--....._..--•------------_..•-- wner Address Installer Address Type of Building Size Lot... feet U Dwelling—No. of Bedrooms________________________________ _Expansion Attic Garbage Grinder rk Other—Type of Building ____________________________ No. of persons............................ Showers ( ) Cafeteria ( ) a Other fixtures .......................................... W Design Flow_______________`%_-_._______.__.____gallons per person per day. Total daily flow.......... ..................gallons. 0S Septic Tank—Liquid capacity_&« gallons Length.." _L�_ Width_Y_%. Diameter________________ Depth_._'_ -" Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No......../........... Diameter.....&._......... Depth below inlet....lr___......... Total leaching area_.:-Z_(,.� ....sq. ft. Z Other Distribution box ( t,-J" Dosing tank ( ) ~' Percolation Test Results Performed by--- __________________________________ Date..... e!..'_.... aTest Pit No. 1.....Y.....minutes per inch Depth of Test Pit_____ 3........ Depth to ground Test Pit No. 2................minutes per incli Depth of Test Pit.................... Depth to ground water------------------------ ...................-`-........................................................................................................................................ Descriptionof Soil......... -=--------------- - ---- - ---------- ------------------------------------------•---------------------------------•---•- V /G•-- --'-/t----Z _ --------------•---------------------------••--•---•--------••••-•-•••-•- UNature of Repairs or Alterations G�Answer when applicable................................................................................................ --------------------•----------.._...------------------------------------------------•--.......-•------------------------------------------------------------------•-------------------........_...••-- Agreement: The undersigned agrees to install the aforedes ibed Individual Sewage Disposal System in accordance with TT' the provisions of : :; 5 of the State Sa4taC — The undersigned further agrees not to place the system in operation until a Certificate of Compliance u y th• board of li alth. Sign = •--• ••_...._. _ _._....••--••-••--••-•---•••--- --/- Date Application Approved By--••••••--~' _ "' ---------.. ___---- ;oe-' -�/-.33-r f------ f f`' '�e Date Application Disapproved for the following reasons-------------------------------------------------------------------------------------------------------••-•----•- --------------------------- --------- .._._.......--------------- •---------------------------------------- ---------- •------ ••-------- Date � .Permit No........ . ..�� =-------------------- Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH (N�! ...........,:..-OF.......... .za,. .1v.?r........................................ Tntif iratr of ToutpliFatta THIS IS TO GURTIFY, That the Individual Sewage Disposal System constructed (>,� or Repaired ( ) by----------------------_----_ ---• ........... Installer J� /� at............. ••• ---•••••- -aep.------ � ----V�:%r ?-'ram t$ �! 4•------•----------------------------------------------- has been installed in accordance with the provisions of TITIE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No......9�_-... _____ dated----.-__-______________________________________ TIE ISSUANCE OF THIS CERTIFICATE SMALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................................................................................ Inspector..................................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF..................................................................................... ' NO.•-••••.. .....5.. FEE_?5 ........... Disposal Vorks Tnn#rnr#inn aanit Permission is hereby granted.. -� +-.e.-Q-Lit................................................................................ to Construct ) or Repair ( ) an 3�mzral Sewage DisposA``System at No. l... -�-.s.'...._...�4 ..._..D--� .... 1 E: c:r c° Street ,..- as shown on the application for Disposal Works Construction Permit No Dated.......................................... •---•------------•----------- --- -f___��_�------------------------------------------••--------- DATE- t� �� 9- ........................................ Board of Health FORM 1255 HOBBS & WARREN. INC., PUBLISHERS TOW14 OIL BARNSTABLE J;OCATIOI�I _C!,1. � SEWAGE # _ VILLAGE. ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY LoO LEACHING FACILITY:(type) (size) tl NO. OF BEDROOMS j PRIVATE WELL OR PUBLIC WATER ILA BUILDER OR OWNER 10 _^ DATE PERMIT ISSUED: _' .1--.' f 7 DATE COMPLIANCE ISSUED:�_��_ -- VARIANCE GRANTED: Yes r0� lip �� (•Jl�J U c AJ �cHF� ��E r 32 TV11 .2g3ta &F Lo C3 7 t • D 2-G.%i` x 3-p ,�cf.N 4 3�2 STDI R �C �cr i oc q'2" OiE PaJc( ,Soc.i 0 �tAsonfrfC E �► _�R z RIB �I - - - - - - - - - - - - - - -L1N �- - - - - - - - —2 av -soy sT 5 i � / i �c �e-t-+ 3 ►= Low SCALE: APPROVED BY: DRAWN BYyy DATE: / \ 3 A,/ pif1C Ir V _ Cv_ 1►�r�2_QiLLp D o ! 0 6 3 DRAWING UMBER w. as-ZusrAZLE �i� 3717 e P 3 t rIFYAT/oN i 1 3 i _�DDi Tr�iV>�.__ I� --J- -L P � I i I j 4—�I y , __. TiYE_�l o-f' So st Pfr — �t2� _LEFT SIDE VIEW t you - SCALE: APPROVED BY: DRAWN BY G 1��AR �/i ey,/ STi��2 4c% �- f n��ll`�E ,STA/2!�E La C. �RLiL"3� DATE: 6`O �tA O C. OJORT�-i)_ -TOa: L J I ci 0 37 DR 9oK (;AR 4EA U4 , 4 2S•aoG7 AWING NUM13ER -j W, _` iF 7 &- 3 7 /P� As��AI.T/r, gERGtAsS -_";oo'� � .SNrr�C,tes W 2�,� e tle.v T l g ,, 2xt2' 1�rDGE XCE tWATjER gr'c O x �- - - 7 L . O - T P7A7c_ - 2 r 13 My.0 J L. 7 9,0 _ r g� � � l i �J 5G yp"co)" SHEATHtn,G 6 L I A) �� %MC WALt� _�{�1.t� I0` l C� D,�, Stu 3 _ frJ�l -.0 X-.FACF.-TA SUL. 3'�_SPAcr�_itisovE G►2T l2 ' 701 _ I� Svpao,ZT T5 i r 22-G �� STiNG Flr� , JatST-5 '�� -�—��: X I o .L6LQ,C, �r' r tj G i? POURED CoA)cl�cTE _._._ v1Z�D__ �cit,9 ' 1 rJ Cr f^o iJCr T NG �o �Z,4 CA TWE I A J VC N LLB SCALE: I APP OVED BY: DRAWN BY vvv vl F/ , 4I t I Y ��fs S S _.._ T/_ !_%_V __,..._.._..._...__...�..._.._---•_.-�.....____..--------------- DATE: j a � 3 Ob. v LT o x q1 9 O 71 DRAWING N USER - ► e II �s 7 _� Po OH O AIA Lt - �� T► sT /oo L s SCALE:3 I APPROVED BY: DRAWN BY DATE: O 3 cl .SRC Q lob /�e1 �1.,y*Rl> c /AR FA L DRAWING N MBER VLIiJ�ocv.^/ t�E/�( LZ�Zoork C r` 13 x 1 L4 MA4LI y i etas r I r F toy C S /00 likAVO LJ 'J r SCALE: 3 11= APPROVED BY: DRAWN BY P� /4LT/`fA-A...11�, a, / 149 13 U r I okP i - R,c vA 1X Q� P. (5 4 Z/Ve A L DRAWING NUMBER loJ. 3A 2/vS 14 = I !-; _t+1rI,-�_-!,�1 tV.I._-��1I;III !�.;� -4,�- "'-_'- i �_.,,.L:��4.�- _-) _ -.I JI.. , !� -; I I 1 .-__�-..'.,.Ij. , -jI Ir1�,j f ..;b _ -._I .. 741�r�I �1 .. _ 1. ---T _- --�- - .I_. :1I � , - L. _. -.. ' .1..� -, -_... .-- 1 � . ....-� - . I1A 1 - - _ �." I 4 i_ _(._ - I. I I 1 . 4 .- I f-i .L1 L.- -4,-r-I - T -. 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Tft i _ ; ✓ 1 1 , , i 4 1 i , ,1 ,� t 1 i�MM - ,a4. � --,�_}_�-+.-t_,.- I ,l m DROMOLANDLN N KEY:TINGCONTOUR: ---- SEPTIC SYSTEM DESIGN SEPTIC SYSTEM SECTION PROPOSED CONTOUR: ------------- 2" 4 EXISTING SPOT ELEVATION: 25.5 FLOW ESTIMATE: COVERS WITHIN 6" 2 3/4"-11 2E DOUBLOR E FABRIC PROPOSED SPOT ELEVATION: 25.5 4 BEDROOMS AT 110 GAL/DAY= 440 GAL/DAY 109.63 OF FINISHED GRADE WASHED STONE p TEST HOLE: TOP OF z UTILITY POLE: -p- � �� Z ° FOUNDATION - -z .�..: ,�,,, \ J INSPECTION PORT Z FENCE LINE: SEPTIC TANK: m a m ELEV:105.33 p ALTHEA DR n ' p HYDRANT: 440 GAL/DAY x 2 DAYS= 880 GAL > RETAINING WALL: m 3'MAX. USE 1000 GALLON SEPTIC TANK (EXISTING) 106.5 COVER ----- - S 85-25-30"E ELEV. (1'MIN) -------------- ---------- 150.34' 105. ROUTE 6 - LEACHING AREA: ----------- ----- (EXISTING) ELEV. 105.37 USE 3- O-gALLON CHAMBERS(8.5'x 4.8'x 2'EFF.DEPTH)WITH ELEV. ELEV. ° ° ° 102.5 LOCATION MA ELEV. ° ° H ELEV. LOT 8 (43,888 S1) 4'OF STONEIALL AROUND 33.5'x 12.8'x 2'DEEP ° D-BOX 4' 4' i 33.5' i ( ) 1000 GAL (6"STONE UNDER) ASSESSORS MAP:344 1 PARCEL:46 i F 33.5'x 12.8'- � PLAN BOOK:400, PAG :82 SIDE AREA: i (33.5'+12.8')x 2 x 2=185 SF (0.74)=137 GAUDAY SEPTIC TANK - 3-500 GALLON CHAMBERS WITH i TEE SIZEE O BE CONFIRMED 104.5 4'OF STONE ALL AROUND BOTTOM AR A: 33.5'x 12.8'=429 SF 0.74 =317 GAUDAY ) ) ( ) INLET:6" 13"DOWN ELEV. (33.5'x 12.8'x 2'DEEP CAPACI'�Y=454 GAUDAY OUTLET: P, 14"DOWN GAS BAFFLE LEACH AREA DETAIL AT OUTLET TEE � t , N TH-1 108.5 TH-2 109.0 TH-3 108.0 TH-4 108.0 TEST HOLE LUGS 0/A HORIZON ELEV' 0/A HORIZON ELEV. O/A HORIZON ELEV. O/A HORIZON ELEV. ENGINEER: THOMAS McLELLAN,P.E. LOAMY SAND LOAMY SAND LOAMY SAND LOAMY SAND 12" 10YR 3/2 107.5 10" 10YR 3/2 108.2 12" 10YR 3/2 7.5 12" 10YR 3/2 7.0 WITNESS: 3-30-18 B HORIZON B HORIZON B HORIZON B HORIZON DATE: DON DESMARIS,R.S. LOAMY SAND LOAMY SAND LOAMY SAND LOAMY SAND 30" 10YR 6/8 106.0 29" 10YR 6/8 106.6 25" 10YR 6/8 105.9 30" 10YR 6/8 105.5 PERCOLATION RATE: <5 MIN/IN C HORIZON C HORIZON C HORIZON C HORIZON LOAMY SAND LOAMY SAND LOAMY SAND LOAMY SAND 2.5Y 7/3 2.5Y 7/3 2.5Y 7/3 2.5Y 7/3 132"1 1 97.5 132"1 1 98.0 '120"1 1 98.0 120"1 1 98.0 NO GROUND WATER ENCOUNTERED NOTES: EEJ bath bath 1.VERTICAL DATUM: ASSUMED family room 2.MUNICAPAL WATER IS AVAILABLE bed - bed 1 SCHEDULE 40-4"PVC PIPE TO BE USED THROUGHOUT SEPTIC SYSTEM. room room 4.ALL PRECAST UNITS SUBJECT TO TRAFFIC LOADS TO CONFORM WITH AASHTO H-20 SPECIFICATIONS. 2nd floor 5.PIPE PITCH= 1/4" PER FOOT(UNLESS NOTED OTHERWISE). POOL 6.FIRST 2'OF PIPE OUT OF D-BOX TO BE SET LEVEL. breakfast deck 7.THE SEPTIC SYSTEM HAS NOT BEEN DESIGNED TO ACCOMODATE THE USE OF A GARBAGE DISPOSAL. area bh 8.ALL CONSTRUCTION DETAILS ARE TO BE IN CONFORMANCE WITH THE STATE OF MASS.ENVIRONMENTAL dining bath bed CODE(TITLE FIVE)AND LOCAL HEALTH REGULATIONS. X room room g.CONTRACTOR TO VERIFY LOCATIONS OF ALL UTILITIES PRIOR TO CONSTRUCTION. garage irPr _ 10.GROUND COVER OVER ALL SEPTIC SYSTEM COMPONENTS NOT TO EXCEED 3'WITHOUT VARIANCE. porch living bed 11.FIELD SURVEY PROVIDED BY TERRY A.WARNER,P.L.S.,HARWICH,MA. DECK P room room w bh 3 12.THIS PLAN REQUIRES THE REVIEW AND APPROVAL OF ONE OR MORE TOWN DEPARTMENTS AND 1st floor IS SUBJECT TO CHANGE UNTIL SUCH TIME. THIS PLAN HAS BEEN PREPARED FOR THE SOLE RIVE �( J+ N PURPOSE OF CONSTRUCTION OF A NEW SEPTIC SYSTEM AND DOES NOT NECESSARILY M PAVED D EXISTING o� REPRESENT A FULL DETAILED PROPERTY SURVEY. 4 BEDROOM EXISTING FLOOR PLAN Z aDWELG�f top fndL=N 09.63 Lu 0 - ., . 13.EXISTING LEACH PIT IS TO BE PUMPED,REMOVED AND FILLED WITH CLEAN MEDIUM SAND. porch �/ 107 _ ALL CONTAMINATED SOIL WITHIN 5 OF PROPOSED LEACH AREA IS TO BE REMOVED AND REPLACED WITH CLEAN MEDIUM SAND. ��-.�".�108 �, T invert=10 . 9 110 14.D-BOX TO BE WATER TESTED TO ENSURE LEVELNESS AND EQUAL FLOW. 106 w.--... 108 ,i ' BENCHMARK AT a CONCRETE BOUND, W 1000ting c'o I ELEVATION=111.52 - J 105 .� Se gal i' ptic tank I I t L h-3 T 1 SITE PAN i i th!4 103 - rh104 odies ,`, �12" min 102 Paved' -- 4 oak �` ti A f LOCATION: Drive th_1' \ / �� 108 ALTHEA DR., CUMMAQUID, MA ` tti-2; U y ' Y101--_ reserve r ,109 110 � area \ �" TH01, sJ PREPARED FOR: VA EL I 100, / _ „$ UW L JOSEPH MITCHELL N 8931530"W'` 102 103 ' -108k '¢ DATE:4-4-18 SCALE: 1"=30' \ \ / �! \ 101- \ 104 105_ 107 � - j . FR Edge of Pavement BASS RIVER ENGINEERING 40 MIL POLY LINER -`- 25'x 2'DEEP TOP OF LINER=105.5 ALTHEA DRIVE P.O.BOX 1163, EAST DENNIS,MA 02641 M18-17 BOTTOM ELEVATION=103.5 TH MAS J. McL AN, P.E. 508-364-9048