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HomeMy WebLinkAbout0304 BONE HILL ROAD - Health 6 T 304 Bone Hall Road Barnstable A= 337-014 r i t� P C� _ _ ; Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments wM 304 Bone Hill Road Property Address - -------------------------- Redstone Owner Owner's Name - - information is required for Barnstable MA . 02630 March 25, 2010 _. every page. City/Town State Zip Code Date of Inspection._. ._ .. Inspection-resuits must be submitted on this form. Inspection forms-may not be altered-in any way. .. . .. ir„p°rtant `: A. General Information When filling out - - forms on the computer,use 1 Inspector: ✓ V only the tab key p to move your Patrick M. O'Connell cursor:-do not, Name of.Inspector use the return. key. 'Septic•lnspection Services Co:- Company Name 189 Cammett Road Company Address Marstons Mills MA 02648 Bra Cityrrown State- Zip Code 508-428-1779 S1 12855 Telephone Number - 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 rri rtenance of side, et sewage disposal systems. I am a DEP approved system inspector pursuant to- ection 16A40 oR Title 5 (310 CMR 15.000). The system: ® Passes ❑ Conditionally Passes ❑ Falls ❑ Needs Further Evaivation by the Loual Approving Authority r tV Mull March 25, 2010 � ll spector's Signature Date The system inspector shall submit a copy of this inspection report to the Approving Authority (Board ' of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ****This report only describes conditions at the time of inspection and under the conditions of use at that time. This inspection does not address how the system will perform in the future under the same or different conditions of use. 10.74 Redstone.doc•08106 Title 5 Official Inspection Form Subsurface Sewage Disposal System•Page 1 of 15 Ell Y� �l I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments w 304 Bone Hill Road Property Address Redstone Owner Owner's Name information is required for Barnstable MA 02630 March 25, 2010 --- -- -- every page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ® I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: Tank is not in need of pumping at this time, leaching system shows no signs of saturation or surcharge. B) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Answer yes, no or not determined (Y, N, ND) in the ❑ 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 orexfiltration 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. ND Explain: ❑ 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 ❑ obstruction is removed 10-74 Redstone.doc•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments w 304 Bone Hill Road _ Property Address Redstone Owner Owner's Name information is required for Barnstable MA 02630 March 25, 2010 ------ -- - every page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) B) System Conditionally Passes (cont.): ❑ distribution box is leveled or replaced ND Explain: ❑ 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 ❑ obstruction is removed ND Explain: 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:uniess'Board of Health,deteri!riines in accordance with 310 CMR_ 15.30.3(1)(b)that the system is not functioning in a manner which.will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh 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 i 100 feet of a surface water supply.or tributary to a surface water supply. II ❑ 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. 10.74 Redstone.doc•08/06 Title 5 Official Inspection Form Subsurface Sewage Disposal System•Page 3 of 15 i Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments p Y 304 Bone Hill Road Property Address Redstone Owner Owner's Name information is required for Barnstable MA 02630 March 25, 2010 every page. Citylrown State Zip Code Date of Inspection B. Certification (cont.) C) Further Evaluation is Required by the Board of Health (cont.): ❑ The system has a septic tank and SAS and the SAS is Jess than 100 feet but 50 feet or more from a�private water supply`well'*. Method used to determine distance: i **This system passes if the well water analysis, performed at a DEP certified laboratory, for 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,ihdicate "Yes" or"No" to each of the-following for all inspections: Yes No El ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than_day flow ❑ ® 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. 10-74 Redstone.doc•08106 Title 5 Official Inspection Form.Subsurface Sewage Disposal System•Page 4 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 304 Bone Hill Road Property Address Redstone Owner Owner's Name information is required for Barnstable MA 02630 March 25, 2010 every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) D) System Failure Criteria Applicable to All Systems (cont.): Yes No ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ N Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes" or"no" to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area (interim Wellhead Protection. Area— IWPA) or a mapped Zone II of a public water supply well If you have answered "yes" to any question in Section E the system is considered a significant threat, or answered "yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office,of the Department. 10-74 Redstone.doc•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 15 I Commonwealth of Massachusetts = Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 304 Bone Hill Road Property Address II Redstone Owner Owner's Name information is Barnstable MA 02630 March 25, 2010 required for ---- -- every page. Cityrrown State Zip Code. Date of Inspection C. Checklist Check if the following have been done. You must indicate "yes" or"no" as to each of the following: Yes No ® ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ® ❑ Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected.for signs of sewage backup? ® ❑ 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)] 10-74 Redstone.doc•06/06 Title 5 Official Inspection Form.Subsurface Sewage Disposal System•Page 6 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments w 304 Bone Hill Road Property Address Redstone _ Owner Owner's Name information is required for Barnstable MA 02630 March 25, 2010 —__ _ every page. Cityrrown State Zip Code Date of Inspection D. System Information Residential Flow Conditions: Number of bedrooms (design): 3 Number,of,bedrooms (actual): 3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330 Number of current residents: 2 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? [if yes separate inspection required] ❑ Yes ® No Laundry system inspected? ❑ Yes ❑ No Seasonal use? ❑ Yes ® No Water meter readings, if available (last 2 years usage (gpd)): N/A Well Water Sump pump? ❑ Yes ® No Last date of occupancy: Currently Occupied. Commercial/Industrial Flow Conditions: Type of Establishment: - Design flow (based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow (seats/persons/sq.ft., etc.): — - Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: — - — Last date of occupancy/use: Date Other(describe): ---------- --- - ---- 10-74 Redstone.doc•08/06 Title 5 Official Inspection Form.Subsurface Sewage Disposal System•Page 7 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ^M 304 Bone Hill Road Property Address Redstone Owner Owner's Name information is Barnstable MA 02630 March 25, 2010 required for -.- --- --- every page. Cityfrown State Zip Code . Date of Inspection D. System Information (cont.) General Information Pumping Records: Source of information: None Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? — — — Reason for.pumping: Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract (to be obtained from system owner) ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): Approximate age of all components, date installed (if known) and source of information: Tank & d-box installed in 2004, age of leaching system is unknown. Were sewage odors detected when arriving at the site? ❑ Yes ® No 10-74 Redstone.doc•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments °r 304 Bone Hill Road Property Address Redstone Owner Owner's Name information is required for Barnstable MA 02630 March 25, 2010 -- -- every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 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: feet Comments (on condition of joints, venting, evidence of leakage, etc.): Septic Tank (locate on site plan): Depth below grade:p g feet Material of construction: ® concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes,❑ No Dimensions: 10.5' long x 5.2'wide- 1500 gal_ 2" Sludge depth: -- Distance from top of sludge to bottom of outlet tee or baffle 30 T. Scum thickness — C 6 Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle 13" How were dimensions determined? Measured 10-74 Redstone.doc•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 15 I Commonwealth of Massachusetts Title 5 official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 304 Bone Hill Road Property Address Redstone Owner Owner's Name information is required for Barnstable MA 02630 March 25, 2010 every page. City/Town State Zip Code Date oNnspection 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.): liquid level was found at bottom of outlet invert,.tees were intact and clear. 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.): Tight or Holding Tank (tank must be pumped at time of inspection) (locate on site plan): Depth below grade: - Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): 10-74 Redstone.doc-08/06 Title 5 Official Inspection Form.Subsurface Sewage Disposal System•Page 10 of 15 P Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 304 Bone Hill Road Property Address Redstone Owner Owner's Name — — - — -- — — information is required for Barnstable MA_ 02630 March 25, 2010 —__—_ every page. City/Town State Zip Code Date of Inspection D. System Information-(cont.) Tight or Holding Tank (cont.) 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 Distribution Box (if present must be opened) (locate on site plan): Depth of liquid level above outlet invert 011 - - 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.): No solids or high stains present, liquid level at bottom of outlet pipes. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No Alarms in working order: ElYes ❑ No 10-74 Redstone.doc•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 304 Bone Hill Road Property Address Redstone Owner Owner's Name information is Barnstable MA 02630 March 25, 2010 required for _ every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: Type: ❑ leaching pits number: ® leaching chambers number: 6 Infiltrators. El 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.).- Soils &stone surrounding SAS were probed with no evidence of saturation found. Leaching system showed no signs of surcharge into d-box. 10.74 Redstone.doc•08/06 Title 5 Official inspection Form Subsurface Sewage Disposal System•Page 12 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 304 Bone Hill Road Property Address Redstone Owner Owner's Name information is required for Barnstable MA 02630 March 25, 2010 every page. Cityfrown State Zip Code Date of Inspection D. System Information (cont.) 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 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 of solids -- - Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): 10-74 Redstone.doc•08/06 Title 5 Official Inspection Form Subsurface Sewage Disposal System•Page 13 of 15 i Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments w 304 Bone Hill Road _ Property Address Redstone Owner -------�...__......__.._-.-...--- ____...... ........... .... Owner's Name information is Barnstable MA_ 0263_0 March 25, 2010 required for _----------..-_--._. _._._.._ every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a sketch 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. : .: r r♦r #304'*"."%""."" i r • r r r ''r`' r r'r r r�r�•r `• r•' ♦ ♦ ♦ ♦ ♦ ♦ ♦r♦r♦.. r. r r r r r r -•�•• 1. r r r r r r r r r r r r rrr r r ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ r r r r r r r r 22 21 21 3 Bone Hill Road Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 304 Bone Hill Road Property Address --------- ------- - ----- Redstone _ Owner Owner's Name information is required for Barnstable MA 02630 March 25, 2010 every page. CityfTown State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ® Check Slope ® Surface water ® Check cellar ® Shallow wells Estimated depth to ground water: 12+ feet. 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: You must describe how you established the high ground water elevation: Area of system is considerably higher than surface water at end of road. 10.74 Redstone.doc•08/06 Title 5 Official Inspection Form;Subsurface Sewage Disposal System•Page 15 of 15 s Bk 24487 Ps 22 �1833-5 o-34-14—.201 0 at 133 = 1 6g, DEED RESTRICTION. WHEREAS, MICHAEL DAVID REDSTONE is the owner of the land and building at 304 Bone Hill Road, Barnstable(Cummaquid), MA and being shown as LOT 4 on a plan entitled "Subdivision Plan of Land in (Cummaquid) Barnstable, Mass. for Chester E & Frank C. White" which said plan is recorded in the Barnstable County Registry of Deeds in Plan Book 135, Page 97; WHEREAS, the said owner of the Property has agreed with the Town of Barnstable Board of Health to a restriction as to the number of bedrooms which can be included in any home located on said lot as a pre-condition to obtaining an occupancy permit for a finished room over the garage on said lot; WHEREAS, the Town of Barnstable Board of Health, as a pre-condition to the issuance of said permit by the Building Commissioner, is requiring that the agreement for the restriction on the number of bedrooms in any house now .existing or hereafter constructed on the lot be put on record with the Barnstable County Registry of Deeds by recording this document, NOW, THEREFORE, the said owner does hereby place the following restriction on his above-referenced land in accordance with his agreement with the Town of Barnstable i Board of Health, which restriction shall run with the land and be binding upon all successors in title: 1. The dwelling located or to be located on the Property may have no more than three (3) bedrooms. 2. It is agreed that this shall be a permanent deed restriction affecting the Property. 3. It is further agreed that this restriction will terminate upon the connection of the Property to municipal sewer or municipal water thereby allowing additional bedrooms under the then applicable provisions of the said State Environmental Code. For title see deed from to the said owner dated March 3, 2010 and recorded with said Deeds in Book 24402,.Page 28. Executed as a sealed instrument this_day of ApdP,-2010. i MICHAEL DAVID REDSTONE Y x: IL STATE OF COLORADO County of l On this day of i , 2010, before me, the undersigned notary public, personally appeared MICHAEL DAVID REDSTONE and proved - to me through satisfactory evidence of identification, which was a [ ] -)�— [ ] passport, or[ ] personally known to me, to be the person whose name is signed on the preceding or attached document, and acknowledged to me that he/she/they signed it voluntarily for its stated purpose. MICHELLE MARCHAND Notary Public Notary Public State of Colorado My commission expires: l� TOWN OF BARNSTABLE L OCP. iON �&iVP � gtn� SEWAGE # `TILLAGE JAA4l,1� � I���. ASSESSOR'S MAP&'LOT337-64 .4 INSTALLER'S NAME&PHONE NO. i � )MOA4 SEPTIC TANK CAPACITY LEACHING FACILITY: (type) (size) NO.OF BEDROOMS OWNS PERMIT DATE: 4" COMPLIANCE DATE: r Separation Distance Between the.- Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist P within 300 feet of leaching facility) Feet Furnished by -{ --I 77 N w � u � CcO#20 No. VA PANC65 Fee d®� THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: ✓ Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS ZIpplication for Migonl &pztem Con!5trurtiou Permit Application for a Permit to Construct( )Repair()o Upgrade( )Abandon( ) O Complete System O Individual Components Location Address or Lot No.j Q'4 0oA E A/6(- Owner's Name,Address and Tel.No. Assessor's Map/Parcel 3 3-7_d/A 4J G'►Mi (�(�- pp k p)c /2 1 .508��3Ga 7 OQ L� A p 2 6-1 o Installer's Name,Address,and Tel.No. De 'gner's Name,Address and Tel.No. - 7VwNI`fAL1 SQ Type of Building: Dwelling No.of Bedrooms Lot Size 2040 Z sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) N45141 TA/vk 15-00 aA L /t/AGv ",b 60,r CONNECT 70 L.X(571A1 4fA-Cf/111/4 ­7v Adsa,D 45:� ks- 3v, -r 6-,c 5w7xr,7PA, o/v cA" Date last inspected: 200 ( 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 Certifi- cate of Compliance has been issued by fNs Bo d of �q - - g-s®w Signed C� K Date ' 0 Application Approved bytff Date Application Disapproved or the following reaso Permit No. Date Issued No. ✓ !ra: � " / �U` ��"' Fee j \ ' Entered in computer:�✓ THE COMMONWEALTH 09 MAS9-CH`U'SETTS �. , -.C. PUBLIC HEALTH DIVISION TOWN;OF BARNSTABLE., MASSACHUSETTS =� -�� r cation for i4 o� �aY * 6teu� �Cottgtructf ott Pe rmit 4 �. Application for a Permit to Construct( . )Repair(xj Upgrade( ')Abandon( ) El Complete System ❑Individual Components Location Address or Lot No. 0A 156AJE �(/L( � ,, � Owner's Name,Address and Tel.No. A n 11 EL Assessor's Map/Parcel 3 7_���A fi"MJ cJ(,P A �(3 O x 2 SO JT-3b1- 7 6g' Al A 2 6.10 Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. qp yn[ J//� J TO �iA G IYfOU �MQ 1 "CGCI�(/r /Owiv ALC SQ glr�A t InOzrr/, MA 6 z s4 Type of Building: DwellingNo.of Bedrooms 3 --- Lot Size' 204U . s .ft. Garbage Grinder 9 g ( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank ' Type of S.A.S. �; Description of Soil; r/ Nature of Repairs or Alterations(Answer when applicable) 6A Lr AT4v rQA)NEC7 7t� X157�,IVd 4FCAcf/1tiG f/�Gl,a ��yG/NE�2 ,.m O/1od�y Date last inspected: 200 "'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 Certifi- cate of Compliance has been issued by=tfuls BO d of He � ilk Signedr J--a Date Application Approved by _ ��� � U�l ', Date I Application Disapproved•for the following reason - Permit No. Date Issued ._------------_--------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of.Compliance THIS IS TO CERTIFY,that he On--site Sewage Disposal System Constructed( )Repaired( )Upgraded( ) Abandoned( )by at Zo has been constructed,in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No dated /to l is y Ins*.atler - Designer The issuance of this permit shall not be construed as a guarantee that the systetfi will function As�«de�signed. Date i►N Inspector -- ---- -- No. ------------------------Fee �"`-- - a-T-- THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS Miqu ar *pgtem Cou5truction Permit Permission is hereby granted to Construct O Repair( )Upgrade( )'Abandon( ) System located at -I to (k P1 ' l and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this pe 2, �, Date: , 3 t✓/ Approved by '. f 1 Town of Barnstable �oFt"E Regulatory Services Thomas F. Geiler,Director II * BARNS'rABLE, • ' 9�A MASS: � Public Health Division Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer & Designer Certification Form Date: -36--0yu Designer: EM ►kcju+-t- 3t1,e e a,1�c,� Installer: 4/ltw [-6 rJD4:7 p,*f J Address: 18 1 !;— Address: JAAcz44,jp11dom k Ar 02 3 Y nwA i it Al k 67.6d h-2O2 Z On 'ett'U ruy'y was issued a permit to install a (date) (installer) septic system at 252!K &X-e JW based on a design drawn by (address) dated (designer) /�TI ' ertify 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. 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 s. Plan revision or certified as-built by designer to follow. Of f tIMAEL J pw dd0. st er's Signature) (Design 's Signature) (Affix Designer's Stamp 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 PUBLIC HEALTH DIVISION. THANK YOU. Q:Health/Septic/Designer Certification Form �l _ Massachusetts Department of Environmental Management Office of Water Resources 134151 TYPE OR PRINT ONLY Well Completion Report 1.WELL LOCATION GPS (OPTIONALj,, •LATI,TUDE: - Y . LONGITUDE" Address at Well Location:2s6uti 3c Property Owner: Ci c F 1rj Narboc V e�'+ Y2 _ zk c- Subdivision Name: Mailing Address Po ` � o OCt rCitylTown: v p. Assessors Map Assessors Lot#: �J1= NOTE: Assessors Map and Lot#mandatory'If no street address available Board of Health-permit obtained: Yes Not Required ❑ Permit Number24091'032 Datedssued`,$121k 2.WORK PERFORMED 3. PROPOSED,USE 4. DRILLING METHOD ; n` r7 New Well ❑ Abandon rR Domestic ❑ Irrigation ❑ Cable ge ,ti Auger Deepen ❑ Recondition ❑ Monitoring ❑. Municipal ❑ Air Hammer--,E] Direct Push ❑ Replace ❑ Other ❑ Industrial ❑ Other - ❑ MuORotarVO,❑ .Other 5.WELL LOG. oC Unconsolidated Consolidated 6.SITE SKETCH (use:permanent taedmarks with distances) W Permeability CD (A cc m >Q _ � From (ft) To (ft) > High Low (5 m Other Rock Type ' o - c X1 X � © 2 k d F' 7.WELL CONSTRUCTION 8 CASING `` Casin Total Depth-:Drilled `�Z . From (ft) To (ft) ,g Type`and Material Size O.D.,(i,) IIV'eIl Seati.Type, .•," µ Date.Drilling Complete + z 9:PSCREENAIP, u e From (ft) To (ft) Slot Size Screen.Type and Material #ScreeT.Diam4,ter L1 l ..o t STp tt�tr s S-rt` L _,, m it}_FILTjER PACK/GROUT/ABANDONMENT MATERIAL = ;' v 11.ADDITIONAL WELL INFORMATION Developed? N Yes ❑ No From (ft) To (ft) Material Description`' Purpose Fracture. .• ` _.._. Enhancement? ❑.Yes._. No - `� Method Disinfected? [N Yes ❑ No 12.WELL TEST DATA(PRODUCTION WELLS) _ 4 .13. STATIC WATER LEVEL(ALL WELLS) Yield 'vTime Pumped Drawdown to Time Recovery to Depth Below Date Method (GPM) (hrs&min) (Ft. BGS) (hrs & min) (Ft. BGS) Date Measured Ground Surface (FT) 01.riloqlv p 7--&! 211A u �' I t,,nv e -12 01 Z004 14.PERMANENT PUMP(IF,AVAILABLE) NARIADDRESS Of PILIMP,Ifq1AI AT10N COMPANY Pump.Description _ Horsepower Pump Intake Depth--'r .(ft) Nominal Pump Capacity (gpm) 16. COMMENTS �`��� 17..WELL DRILLER'S STATEMENT =his well was drilled andlq bandoned.under my supervision, according to applicable rules �..�; and regulations, and this a ort is corr p a and correcrt best of my knowledge. Driller: �±"►`las CYY101�` Supervising Driller Signature- egistration #: Firm:- t`�np-11 �ci�1�r`f� ��c Date: Rig Permit#: 1 $I NOTE: Well Completion Reports must be filed by the registered well driller within 30 days of well completion. BOARD OF HEALTH COPY A ENg1RO7ECHI.A1 ORATORIES,11VC. " 1 A CERT.NO,:Iif Al-A WU 8 jan Sebastian Dr-Unit#12 Svndivich, UA 11-956.1 08(888-6460) 1-800:3 39-6460 FAX(508)888-6446 CLIENT: Desmond Well Drilling LOCATION: 304 Bone Hill Rd ADDRESS: PO Box 2873 Cummaquid 5 Rayber Rd Barnstable MA Orleans MA 02653 COLLECTED BY. Desmond Well Drilling SAMPLE DATE: 9/16/2004 SAMPLE TIME: 12:00 WATER SAMPLE TYPE: New Well DATE RECEIVED: 9/16/2004 LAB I.D. #: 0409389 WELL SPECS.: 4"x 42'/ 12' RESULTS OF ANALYSIS: Parameters Units Recommended Results Method Date Analyzed Limits Coliforna#iacteria /100ml 0 0 9222 B 9/16/2004 PW'. ,_,. , ,:, pH units 6.5-8.5 6.38 4500 H+ 9/16/2004 Conductance umhos/cm 500 142 120.1 9/16/2004 Nitrate-lV mg/L 10.0 < 0.01 300.0 9/16/2004 Nitrite-N mg/L 1.00 < 0.004 300.0 9/16/2004 Sodium mg/L 20.0 13.8 200.7 9/16/2004 Iron mg/L 0.3 < 0.1 200.7 9/16/2004 Manganese mg/L 0.05 < 0.008 200.7 9/16/2004 Volatile Organics* ug/L None Detected EPA 524.2* 9/22/2004 *see attached COMMENTS: pH is below recommended limit and may have corrosive characteristics. WATER MEETS EPA STANDARDS AND IS SUITABLE FOR DRINKING PURPOSES FOR PARAMETERS TESTED. .ND- None Detected. i' ' '? ,t,�.1 fst. -t a • <=less.than _• >=greater than 4 -TNTC=too numerous to count ` Date Ronald J. S ' R La#sorafo irector f y Pagel of 3 R.I. Analytical Specialists in Environmental Services CERTIFICATE OF ANALYSIS Envirotech Laboratories,Inc. Date Received: 09/17/2004 Attn: Mr.Ron Saari Date Reported: 09/24/2004 8 Jan Sebastian Drive P.O.#: Sandwich,MA 02563 Work Order# 0409-14037 DESCRIPTION: DESMOND(ONE DRIl KING WATER SAMPLE) Subject sample(s)has/have been analyzed by our Warwick,R.I. laboratory with the attached results. Reference: All parameters were analyzed by U.S. EPA approved methodologies and all NELAC requirements were met. The specific methodologies are listed in the methods column of the Certificate Of Analysis. Data qualifiers(if present)are explained in full at the end of a given sample's analytical results. Certification#: FA-033,MA-RI015, CT-PH-0508,ME-RIO15 NH-253700 A&B,USDA S41844,NY-11726 If you have any questions regarding this work,or if we may be of further assistance,please contact us. Approved by: Data Reporting enc: Chain of Custody 41 Illinois Avenue,Warwick,RI 02888 131 Coolidge Street,Bldg 2,Hudson, MA 01749 � GA } Page 2 of 3 R.I.Analytical Laboratories,Inc. CERTIFICATE OF ANALYSIS Envirotech Laboratories,Inc. Date Received: 09/17/2004 Approved by. /f Work Order#: 0409-14037 Data i$orting Sample# 001 SAMPLE DESCRIPTION: 0409389 304 BONE HILL ROAD CUIv MAQUID SAMPLE TYPE: GRAB SAMPLE DATE/TIME: 09/16/2004 @ 12:00 SAMPLE DET. DATE PARAMETER RESULTS LIMIT UNITS METHOD ANALYZED ANALYST Volatile organic Compounds Bromodichloromethane <0.5 0.5 119/1 EPA 524.2 .09/22/2004 AMT Bromoform <0.5 .0.5 119/1 EPA 524.2' 09/22/2004 AMT Dibromochloromethane <0.5 0.5 ug/l EPA 524.2 09222004 AMT Chloroform <0.5 0.5 ug/l EPA 524.2 09/22/2004 AMT 1,2-Dibromoedme(EDB) <0.5 0.5 ug/l EPA 524.2 09/22/2004 AMT Benzene <0.5 0.5 ug/l EPA 524.2 09/22/2004 AMT Carbon Tetrachloride <0.5 0.5 119/1 EPA 524.2 09/22/2004 " AMT 1,2-Dichloroethane <0.5 0.5 ug/l EPA 524.2 09/22/2004 AMT Trichloroethene <0.5 0.5 119/1 EPA 524.2 0922/2004 AMT 1,4-Dichlorobenzene <0.5 0.5 ug/l EPA 524.2 09222004 AMT l,l-Dichloroethane <0.5 0.5 ug/l EPA 524.2 0922/2004 AMT 1,1,1-Trichloroethane <0.5 0.5 ug/l EPA 524.2 09222004 AMT Vinyl Chloride <0.5 0.5 ug/l EPA 524.2 09222004 AMT Bromobenzene <0.5 0.5 ug/l EPA 524.2 09222004 AMT. Bromomethane <0.5 0.5 ugll EPA 524.2 0922/2004 AMT Chlorobenzene <0.5 0.5 ug/l EPA 524.2 09/222004 AMT Chloroethane <0.5 0.5 ug/l EPA 524.2 09/222004 AMT Chloromethane <0.5 0.5 119/1 EPA 5242 09222004 AMT 2-Chlorotoluene <0.5 0.5 ug/l EPA 524.2 0922/2004 AMT 4-Chlorotoluene <0.5 0.5 )u9/1 EPA 5242 09222004 AMT Dibromomethane <0.5 0.5 ug/l EPA 524.2 0922/2004 AMT 1,3-Dichlorobenzene <0.5 0.5 ug/l EPA 524.2 09222004. AMT 1,2-Dichlorobenzene <0.5 0.5 ug/l EPA 524.2 09222004 . AMT trans-1,2-Dichloroethene <0.5 0.5 ug/l EPA 524.2 09222004 AMT cis-1,2-Dichloroethene <0.5 0.5 - ug/l EPA 524.2 09/222004 AMT Methylene Chloride -<0.5 0.5 ug/l EPA 524.2 0922/2004 AMT 1,1-Dichloroethene <0.5 0.5 ug/l EPA 524.2 0922/2004 AMT l,l-Dichloropropene, <0.5 0.5 ug/l EPA 524.2 09/222004 AMT 1,2-Dichloropropane I 0<0.5 0.5 ug/l EPA 524.2 09/222004 AMT 1,3-Dichloropropane <0.5 0.5 ug/l EPA 524.2 09/222004 AMT cis-1,3-Dichloropropene <0.5 0.5 119/1 EPA 524.2 09/222004 AMT ll 2,2-Dichloropropane <0.5 0.5 ug/l EPA 524.2 09/22/2004 AMT I F Ethylbenzene <0.5 0.5 ug/l EPA 524.2 09/222004 AMT Styrene <0.5 ' 0.5 ug/l EPA 524.2 09222004 AMT 111,2-Trichloroethane <0.5 0.5 ug/l EPA 524.2 09222004 AMT 1,1,12-Tetrachloroethane <0.5 0.5 ugfl EPA 524.2 09222004 AMT 1,1,2,2-Tetiachloro_ethane r 4 <0.5 0.5 ug/l EPA 524.2 09/22/2004 AMT Tetrachloroethene <0.5 0.5 ug/l EPA 524.2 09/22/2004 AMT. 1,2,3-Trichloropro6ane ' <0.5 0.5 ug/l EPA 524.2 09/22/2004 AMT on c9A n A(1Ign11AAA AA/T Page 3 of 3 R.I.Analytical Laboratories,Inc. CERTIFICATE OF ANALYSIS' Envirotech Laboratories,Inc. - Date Received: 09/17/2004 Approved by. Work Order#: 0409-14037 Data Reporting Sample# 001 SAMPLE DESCRIPTION: 0409389 304 BONE HILL ROAD CUMMAQUID SAMPLE TYPE: GRAB - SAMPLE DATE/TIME: 09/16/2004 @ 12:00 SAMPLE DET. DATE PARAMETER RESULTS LITVHT UNITS METHOD' ANALYZED ANALYST Xylenes <0.5 0.5 ug/I EPA 524.2 09/22/2004 AMT 1,2-1)ibromo-3-Chloropropane <0.5 0.5 ug/1 EPA 524.2 09/22/2004 AMT Bromochloromedme <0.5 0.5 ug/1 EPA 524.2 09/22/2004 AMT n-Butylbenzene <0.5 0.5 ug/1 EPA 524.2 09/22/2004 AMT Dichlorodifluoromethane <0.5 0.5 ug/1 EPA 524.2 09/22/2004 AMT Trichlorofluoromethane <0.5 0.5 ug/1 EPA 524.2 09/22/2004 AMT Hexachlorobutadiene <0.5 0.5, ug/1 EPA 524.2 09/22/2004 AMT Isopropylbenzene <0.5 0.5 u9/1 EPA 524.2 09/22/2004 AMT p4sopropyltoluene <0.5 0.5 ug/1 EPA 524.2 09/22/2004 AMT Naphthalene <0.5 0.5 ug/1 EPA 524.2 09/22/2004 AMT n-Propylbenzene <0.5 0.5 ug/1 EPA 524.2 09/22/2004 AMT sec-Butylbenzene <0.5 0.5 ug/1 EPA 524.2 09/22/2004 t AMT tert-Butylbenzene <0.5 0.5 ug/1 EPA 524.2 09/22/2004 AMT 1,2,3-Trichlorobenzene <0.5 0.5 ug/1 EPA 524.2 09/22/2004 AMT 1,2,4-Trich1orobenzene <0.5 0.5 ug/1 EPA 524.2 09/22/2004 AMT 1,2,4-Trimethylbenzene <0.5 0.5 ug/t EPA 524.2 09/22/2004 AMT 1,3,5-Trimethylbenzene <0.5 0.5 ug/1 - EPA 524.2 09/22/2004 AMT Methyl Tertiary Butyl Ether(MTBE) <1 1 u9/1 EPA 524.2 09/22/2004 AMT n-Hexane <10 to 119/1 EPA 524.2 09/22/2004 AMT SURROGATES RANGE EPA 524.2 09/22/2004 AMT 4-Bromofluorobenzene 99 80-120% EPA 524.2 09/22/2004 AMT 1,2-Dichlorobenzene-d4 113 80-120% EPA 524.2 09/22/2004 AMT 2-e Fee-- --------------- BOARD OF HEALT TOWN OF BAR B LE ZpplicationArlVell CongtructionPermit Application is hereby ade for a permit to Construct (X), Alter ( ), or Repair ( )an individual Well at: -- Location — Address Assessors Map and Parcel & s e scbor�a��ure.S �2= crzeZec_--`Road. l�a�>,c�t 4�Qz63ti Owner Address ,Symov►�,Y`��`\ ol-;WT I)I_I QSY`f16n -- -® c� G _mA-9�653------------ Installer Driller Address Type-of Building Dwelling ----- ----—------- — --- -— Other - Type of Building-------------- No. of Persons-------------------------- p � Type of Well— su��--_ — Capacity-------- ---- Purpose of Well---- --�L�� --------- Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private Well Protection Regulation — The undersigned further agrees not to place the well in operation until a fific o o ce has been issued by the Board of Heal date Application Approved -- --——— ----- date Application Disapproved for the following reasons: ------------ —----- - --- -- ------------ " date i� PP Permit No. '^' '��� ` _"—� 3 ;> — Issued---—-C� - 2--- ---= -----— date BOARD OF HEALTH TOWN OF BARNSTABLE Certificate Of Compliance THIS IS TO CERTIFY, That the Individual Well Constructed (,-I Ytered ( ), or Repaired ( ) by------ Nv- Al f� Installer �� - --�— - --, —------ -- AL �0 4 AVW //Le at- � ��--------- --—-- -- - ---- --- -- _�G --- has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit No. -------—------------Dated------ ------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE------- —- -- Inspector-------- - --——- ---- +- r Fee--------------- ---- BO'ARD OF HEALT TOWN OF BAR ABLE Application Ar Veil. CongtructionPermit e ti -'A plication is hereby ade for a permit to Construct Altec( ), or Repair ( )an individual Well at: Location Address �5 Assessord`Map and-Parcel acbor-V0^ko ms 2 AFcct�Ze c- _ oa$. BQr r-,� MA OZ630 j — ——--- — —. Owner Address NS�^nov,��!`t\\ o'(N'W� "`11vemos DQ. b,6►a _ P.U_--Go Z-11-3_ 0 cleans_ MA 02.653- - - ----- --------------- i4 Installer — Driller Address Type of Building jDwelling ---=- ------------------- Other.- Type of Building----------------- - No, of Persons-- -�� Pe rsons-- - ------.-- JM�- _"0l�l Capacity--- �d--xl � Type of Well— ---------- --- Purpose of Well--- Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The f Town of Barnstable Board of Health Private Well Protection Regulation - The undersigned further agrees not to t place the well in operation until a Ce tific a Af Com "kuace has been issued by the Board of Healtt,i /Sigcxn date r Z,' 'Application,Approved By--- — ----------— date Application Disapproved for the following reasons:—------;------------_—_____—__`—_--_ — date— Permit No. —L--0 3 �- -- Issued------ -�� - date — ------ BOARD OF HEALTH TOWN OF BARNSTABLE Certificate Of ComPliance THIS IS TO CERTIFY, That the Individual Well Constructed (✓)� tered ( ), or Repaired ( ) ' Installer�/ . d � D �Gc_ ®Gc _ has been installed in accordance with the provisions of the Town of Barnst ble Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit No. ----------------Dated------------------ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. $ DATE ----- -- --- - —------- 'Inspector— BOARD OF HEALTH TOWN OF BARNSTABLE Iver[ Con5truct ion Permit No. _ � jQ``� ® � �• ` Feed --- Permission is hereby granted /I"6 & " Cc le-I G GI ,-� ------____— to Construct Alter ( ), or Repair ( ) an Individu Well at: Street l as shown on the application for a Well Construction Permit C/ No. Dated-- - ——_------ -- - - - -- — —------------------ ---- ------ ��� Board of Health DATE � s COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS oQ DEPARTMENT OF ENVIRONN ENTAL PROTECTION - ONE WINTER STREET,BOSTON MA 02108 (617)292-5506 TRUDY CORE Secretary AROEO PAUL CELLUCCI DAVID B.STRUHS Commissioner Governor SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM ~ PART A C811121CATiON Pmp�y adarse,3a�1B�+e +11Rd,Cwrn,�1[�w dgrv�A Name of ownsrP��l o i►3') Addros,of ornier:l�l.t('evl'r�-jT��n ��YY�i'3 0�b`'� Dees of inspeegSoo:`a-10-(9d unmoflj C. E L L I S I an o DO I Wrotned system hupeem►pursume to Section 16.3W of Titb 5(310 CM t5A ) CooipanyNanr. F ILLS BROTHERS CONST CO -1 -rry waar.o: H PORT, MA Tefepiroos N1arAa: 598 362 CERINVAT10N lITATE>IABItT I certify that I have personally inspected the sewage disposal system at IN*address and that the information reported below is true,accurate and complete as of the inspection. The inspection was performed based on my training end experience in the proper function and maintenance of on-site age disposal systems. The system: o Passes _ Condtloruft Passes Needs Evaluation By the Local Approving Authority + Faft DoW. The System inspector shell submit a copy of this inspection report to the Approving Authority(Board of Health or DEPlwMft thirty(301 days of completing this inspection. If the system is a shared system or has a design flow of 10.000 gpd or greater,the inspector and the system owner shaft submit the report to the appropriate regional office of the Department of Environmental Protection. The original should be sent to*a system owner and copies sent to the buyer,if applicable,and the approvft authority. NOTES AND COMMENTS 10 VEO SEP .2000 revised 9/2/98 tel�ll I Primed an Pacyriee Papa SUBSURFACE SEWAGE DISPOSAL SYSTEM RMUMCTIINII FORM ' PART A CEffnFICATWN(cadinusd) wgrAa...3oyl&ne41ii kj C�mm�l�w�►V111� Owner: Tole K F-roe/W ii,(HAr» Dauof[ : OW4 ECYM SUINUM: Check�� C.or D: A. $YSTM PASSES: —. &)1 have not found any Information which indicates that any of the tabus conditions described In 310 CMR 16.303 exist. Any failure criteria not evaluated are indicated below. OOoi�TS: . . 8. SYS?p100lALLY PASSES: One a more system canparerns as descnbed to the"CiftPus'asction need to,bs roPiecsda rop�red. The system,uponcanplotion of the�or repsk,se approved byslth,wN pass. Indicate yes,no,o►not determined(Y,N,a NO). Describe basisin ai kwun ". If"not determined".explain why not.The septic tank is metal,uness theowner orided the system Inspector with a copy of a Certificate of Comp6�)attached)Iiceft that the tanthin twenty 120)years Prior to the date of the Inspection:or the septic tank.whedar or not metal.is cracknwund,shows substantial irddtradon or exiltration.or tank failure is Imminent. The system will pas inspection I F the existing septic tank is replaced with a eompiyinp septic tank as approved by the Board of Health. Sewelp backup or breakout w high static water love observed In the nstobution boa Is due to broken or obstructed pipets) or due to a broken.settled or uneven distribution box The system will Pats Inspection if(with approval of the Board of Health). broken Pipets)are replaced obstruction is removed distribution box is levelled or :ad .._ The system required pumpft more thank four Ultras a Vow due to broken or obstructed pipets). The tystenrwN pass Inspection 0(with approval of the Board of Health): broken Pipets)we replaced obstruction is removed rftvised 9/2/98 Psgeiaftt SUBSURFACE,SEWAOE OMPOSAL SYSTEM WSPECTION FORM PARTA CENTIRCATIMI(osnoo sd! r ,aep.tr Ad*ew,304 8vhe 14,11 QJ,6,^v"A A,►V)+A OMi"ar: �'tise�l, nos�W�U►x►vv►�rws _ Doss of hrspsetlor� $_10_ C. FURTM EVAWAT101rf 6 REQUIRED BY THE BOARD OF HEALTH. � . Conditions exist which require further evaluation by the Board Heahh In order to determine if the system is failing to protect the public health,safety and the environment. 11 SYSTEM WILL.PASS CARESS BOARD OF HEALTH M ACCORDANCE WITH 310 CMR 15.303 t1HW THAT THE SYSTEM IS NOT ROCTHDNMQ LN A MANNER WHICH WRL PROTEcy i a PUBLIC HEALTH AND SAFETY AND THE ENVIR01mllfft, Cesspool or privy is within 60 feet of surface water Cesspool or privy is witIft 50 feel of s bordering vow Ated wetland or a soh mash. /lam - Zi SYSTEM WILL FAR UNLESS TIE BOARD OF HEALTH VM WATER SUPPL.M IF ANYI DETeIMH TWAT Tim SYSTHN IS RM=OPMG W A MANNER THAT PROTECTS THE PUBLIC TH AND SAFETY AND THE EHINHRdIBIl WT: The system has a septic tank and soil absorption s (SAS)and the SAS Is within 100 feet of a surface water supply or oftfiery,to a surface water supply. _ The system has a septic taft and sail absorption syst m and the SAS is within a Zees 1 of a public water supply well. The system has a septc taft and soil absorption syst im and the SAS Is wkMn 50 feet of a private water supply wen. The system has a septic tank and soft absorption syst m and the SAS is less than 100 feet but 50 feet or more from a private water supply well,urdess a well water andysh for collforrn bacteria end volaMe orgsWc compounds indiestes that the wall Is*as from pollution from that facility and the p esence of ammonia mitropen and.gtig "Wotan is equal to or less Ow 5 ppm. Method used to determine disteace (approximalim net vat. 3) OTHER revised 9/2/98 Pap 3of11 SUBUIRFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION icarainued) PPropasky Addrns:ta 3,�YOMW Q��e}�111 I���Cunnvni: f�►�-L,-MiA Da of 6apection: + ' �h�os J W h lLhw vn ,nos D. SYSTEM FAILS: Your must indicate either"Yes"or"No" to each of the following: 1 have determined that one or more of the following failure ca ons exist as described in 310 CMR 15.303. The basis for this determination is identified below. The Board of Health should contacted to determine what will be necessary to correct the failure. Yes No Backup of sewage into facility or system component d islo an overloaded or dogged SAS or cesspool. _ Discharge or pending of effluent to the surface of the ound or surface wags due to an overloaded or dogged SAS or cesspool. Stodc liquid I"in the distribution box above oudat due to an overloaded or dogged SAS or cesspool, .� Liquid depth in cesspool is less than 6"below invert or vahl"volume is less than 1/2 day flow. - Required pumping more than 4 times in the lest year T due to dogged or obstructed pipets). Number of times pumped r Any pardon of the Soil Absorption System,cesspool orprivy is below the high groundwater elevation. Any portion of a cesspool or privy Is within 100 feet of i surface water supply or tributary to a surface water supply. Any portion of a cesspool or privy is within a Zone 1 of public well. Al, 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 greater than 50 fast from a private water supply well with no acceptable water quality analysis. ff the well has been tyied to be acceptable,attach copy of well water analysis for colitorm bacteria,volatile organic compounds,ammonia ogee and nitrate nitrogen. E. LARGE SYSTEM FAILS: +' - You must indicate either"Yes"or"No" to each of the following: The following pia apply to large systems In addition to the above: The system serves a facility with a design flow of 10,000 gpd or I reeter(Large System)end the system is a significant threat to"IC health and safety and the environment because one or more of thi following conddions exist: Yes No , the system is within 400 feet of a surface drinking watei supply the system is within 200 feet of a tributary to a surface 4 driking water supply _ the system is located in a nitrogen sensitive area(interim Wellhead Protection Area-IWPA)or a mapped tone it of a public water supply well The owner or operator of any such system shall upgrade the system in ace ante with 310 CMR 15.304(2). Please consult the local regional Office of the Deportment for further Information. revised 9/2/98 Psp4oftt + t SUBSURFACE SEWAGE DISPOSAL SYSTBA INSPECTION FORM PART B CHECKLIST. •' Property Addross:3049ne Nn 1I Qdj G jnarnftun-L,MA oMmer: '-T'05R-i1, SYWS f L iJL Am �.r,os Dais of Irupection: ` ^ Chec if the following have been done:You must"cote either"Yes"or"No" as to each of the following, Y No _ Pumping information was provided by the owner,occupant,or Board of Health. _ None of the system components have been pumped fot'st least Iwo weeks and•the system has tow receivingIter mal flow rates during that period. Large volumes of water he"not been introduced into the system recently or as pareof this - Inspection. As built plans have been obtained and examined. Note if they are not available with NIA. + ' The facility or dwelling was inspected for signs of sewage back-up. Al The system does not receive non-sanitary or industrial waste Now. _ The site was inspected for signs of breakout AN system eorrnponernts,Wudmg the Soil Absorption System,have been located on the site. The septic tank manholes were uncovered,opened,and the interior of the septic tank was inspected for condition of baffles or toes,material of construction,dimernions,depth of liquid,depth of sludge,depth of scum. The size and locadon•of the Soil Absorption System on the site has been determined based on: Existing information.For example,Plan at B.O.H. _ Determined in the field(N any of the failure criteria related to Part C is at issue,approximation of distance is unacceptable) [I 5.302f31fb11 T _ The facility owner(and occupants,if different from owner)were provided with Information on the proper maintwwwaof Subsurface Disposal Systems. a - revised 9/2/98 ragrserli SLISSIIRFACE SEWAGE DISPOSAL SYSTUN INSPECTION FORM PART C SYSTEM!INFORMATION O Add...3D4BoneI4 ►) R1,Gxffiv,A�wdL rmA wner: -ToS2p),, »OS 1 W 14A A m EMS Date of Inspection: FLOW CONDITIONS RESIDEIMAL. Design flow:�g,p.d./bedroom. Number of bedrooms(design): Number of bedrooms(actual):_ Total DESIGN flow 4 << _ Number of current rosidems Garbage grinder(yes or no):111d1 Laundry(separate system) (yes or no) f yes,separsteinspection required Laundry system Inspected (yes Seasonal use(yes or no): Are Water meter readings,if a (last two year's usage(gpd): Sump Pump(yes or no):— Last date of occupancy:Type of establishment: Y- Design now: ood (Based on 15.203► Basis of design flow Grease trap present:(yes or no), Industrial Waste Holding Tank present:(yes or no) Mort-sanitary waste discharged to the Tide 5 system:(yes or no) Water meter readings,if available: Last date of occupancy: OTHMt:(Describe) Last date of oecup , GENERAL NVURYATION ro"AI M iP M RECORDS and source of information: System purnpad as part of 'on:(Yes or no) NY".volume pumped: gallons /Reason for pumping: TYPE�F SYSTEM ____✓✓✓ Septic tonk/distribution box/soll absorption system Single cesspool Overflow cesspool Privy Shared system(yes or rot (if yes,attach previous Inspection records,R any) I/A Technology etc,Attach copy of up to data operation and maintenance contract Tight Tank Copy of DEP Approval Other APPROIGMATE AGE of all components,date installed IN known)and gourceOf Wwrantion: 07 Swange odors detected when arriving at the site:(yes or no) revised 9/2/98 PW6of11 SUBSURFACE SEWAGE DISPOSAL SYSTEM MISPECTION FORM PART C SYSTEM MIFORMATION Icontinuem r N ivo w y Address:30(4 Some, Cu_mmraga d_) VrA . Owner: 3oy .ti nos JGUi l Ltigmno� Osrne of trrspection: �_1 D—8'0 ,. 7 BUILDNG SEWER: _ (locate on site plan) t Depth below grader Material of construction:V east iron^40 PVC_other(explain) Distance from vale water supply well or suction line Diameter :. Comments:(condition of joints,venting,evidence of leakage,etc.) SEFrM TANK- (locate on site Pr n1 ft Depth below grader Material of construction:Vconcreto_metal_Fiberglass _Polyethylene—other(explain) U tank is metal,list age^ .b-age confirmed by Certificate of Compliance_(Yes/No) "V 4 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: y flow dimensions were determined: r%omments: ' (reeommendatirat for pumping, diti Inset and outlet tees or baffles,d of i� in r to outlet Inv evidence of e,etc. GREASE TRAP: (locate on site plan) Y = Depth below grade:_ a Material of construction:,concrete_metal_Fiberglass _Poly glens 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 on baffle: R Date of last pumping: y Comments: (recommendation for pumping,condition of inlet and outlet tees or in ffies,depth of liquid level in relation to outlet invert,structural integrity, evidence of leakage,etc.) , revised 9/2/98 Page7of11 StMSURFACE SEWAGE DISPOSAL SYSTEM MPECTION FORIA PART C 1 SYST®A WFORMATION(CWW rNdI Addrsss:sw&,e, 41,LLO,CumvYllAeq ul I,rY1> Owner: " S%�.thOS j W LLB 11-M �cY1ol,S Dace of hapecdon:$1-r ob TIGHT OR HOLDDIGi TANK: (Tank must be pumped prior me of,inspection) (locate on site plan) Depth below grade:_ Material of construction:_concrete ,metal_Fiberglass_P ylene_other(explain) Dimensions: Capeft. gallons , Design flow: gallotnslday Alarm present Alarm level: Alarm in working order:Yes__ No_ Date of previous pumping: ` Comments: {condition of inlet tee,condition of alarm and float switches,etc.) DISTNIBUMN BOX: (locate on site plan) Depth of liquid level above oudet Invert: r�bomments: �--` (note ifleyel and disnption is eqqm ,e of Wws car .er, of leakefie i4o or outof box:etc.) PUMP CHAMBI:^, (locate on site plan) Pumps in working order.(Yes or No). Alarms in working order(Yes or No) Y Comments: Inote condition of pump chamber,condition of pumps and appurt as.etc.) Fill revised 9/2/98 rwsottl i SUBSURFACE SEWAGE DISPOSAL SYSTEM ISNSPECTION FORM PART C SYSTEM DIFORMATION(u:anda uedl r\worty Address: b4 �loh2.�}I l , mYv1AC�W��Y11>a Owner: 7oS2�� �Gu�aS1LJulLjY�ivu �Y1DS Dafo uri iupeufioru:�-I D-(3� SOL ABSORPTION SYSTEM(SAS): (baste on site plan,N possible;exca on not required,location may be approximated by non-intrusive methods) N not located,explain: Type: f leaching pits,number:_ leaching chambers,member _ leaching galleries,number- ' leaching trenches,number.length: leaching fief,number,dimensions: overflow cesspool,number Ahemedve system: - Name of Technology: Comments: Inota condrdoo of s figns of h lic Val of g,damp soil, ndition of veget ,etc.) LLB G dJ CESSPOOLS: (locate on site plan) , Number and configuration: Depth-top of liquid to inlet invert: - - ��pth of solids layer: JeDffi of scum layer: 'T ; Dimensions of cesspool: , Materials of construction Indication of groundwater: inflow(cesspool must be pumped as part of inspection) Comments: (note condition of soul,signs of hydraulic failure,level of ponding,cor dition of vegetation,etc.) „ (locate on site plan) .. 1 Materials of construction: Dimensions: Depth of solids: Comments: (note condition of sod,signs of hydraulic failure,level of ponding,m idition of vegetation,etc.) - revised 9/2/98 Par 9of11 ;N , StlSStNtFACE SEWAGE DISPOSAL SYSTEM NSPECTIOIN FORM PART C SYSTM OR MATIOIN l 9reperty Addrass:3V4 20YW1 A;LL"'I 6-V'MMA 1�:�MIA �. Owner: -"Tosf-P,6 Snos/W�LLx Ft vn Dame of 1sNmcdow 3—ID SKETCH OF SEWAGE DISPOSAL SYSTEM: Include ties to at least two permanent reference landmarks or benchmarks locate all wells within 100'iloaate where public w u comes Into house) 1. a11VpAw � ' revised 9/2/98 rimp1lofII 1 SUBSURFACE SEWAGE DISPOSAL SYSTEM WSPECTION FORM PART C SYSTEM 1111FORMATION(continued) riraperty Addresa:'o4&YW-14I LL Rd,G,Ym Aq Lm 1,rn jj Owner: Q-,Sepv% 8YID I LLi-A vA �Y1aS NRCS Report ne Soil Type_ Typical depth to groundwater USOS Date webs%&visited Observation Wells checked z r Groundwater depth: Shallow Moderate Deep SITE EXAM Slope Surface water Check Cellar Shallow wells Estimated Depth to Groundwater Feet N • c` a rue" cute all the methods used to determine High Groundwater Elevation: - :Zerved nod from Design Plans on record Site(Abutting property,observation hole,basement sump etc.) ermined from local conditions Chocked with focal Board of health w ad FEMA Maps:�t ' Tacked ed pumping records local excavators,installersUSGS Data Describe how you established the High Groundwater Elevation.(Mqg be completed) revised 9/2/98 page 11of11 • Page CERTIFICATE OF ANALYSIS Barnstable County Health Laboratory Report Prepared For: Retort Dated: 08/07/2000 ; Ellis Brothers Construction „ Order Number: G0007118 Reid Ellis 23 Enterprise Rd Yarmoutport, MA 02675 , Laboratory W#: 0007118-01 Description: Water-Drhddng Water Sample#: 07118 Samoline Location: 304 Bone Hill Rd.,Cummaquid Collected' 08/0412000 Collected by: Thomas Ellis Received: 08✓04/2000 .Routine ITEM RESULT UNITS MCL Method# ` Tested LAB. IC Lab ` Nitrates <0.1 mg/1:, . 4- 10 EPA 300.0 08/04/2000 LAB:Metals Copper 0.2 mg/L 1.3i, SM 3111B 08/07/2000 Iron 0.5 mg/L 0.3 SM 3111E - 08/07/2000 Sodium 14. mg/L 20 SM 311113 08/07/2000 LAB:Microbiology Total Coliform Absent P/A r Absent, P/A` 08/04/2000 LAB: Physical Chemistry w Conductance 158 umohs/cm EPA 120.1 08/04/2000 PH 5.7 pil-units EPA 150.1 08/04/2000 Note: Based on the results of the parameters tested,`the water is suitable for drinking but may present aesthetic problems (taste, odor,staining)due to iron. ; Approved By: K _ (Lab Director) Superior Court House, PO.Bog 427, Barnstable, MA 02630 Ph: 508-375-6605 d RECEIPT No 14337, Environmental Health Services From: � •!� ..•'=�''�..1 g �. � e ,• For:(specify service) g Amount: Signed: Date: BARNSTABLE COUNTY HEALTH AND Telephone ENVIRONMENTAL DEPARTMENT Superior Court House 382.251 t BamslWo.Mess.026M , Ext.397 w Y � ...�� �_ • { e d � '��. � III z r n r rr i f Town of Barnstable Department of Health, Safety, and Environmental Services BARNgrABM MA98. Public Health Division i639� 1 a 367 Main Street, Hyannis MA 02601 Office: 508-790-6265 Thomas A McKean FAX: 508-775-3344 Director of Public Health January 8, 1997 Craig R. Short, P.E. Professional Engineer P.O. Box 781 Dennis, MA 02638 Dear Mr. Short: You are granted variances on behalf of your client, William Enos, to construct a replacement septic system at 304 Bone Hill Road, Cummaquid. The variances granted are as follows: • Well Regulation, Part XII Section 2: To reduce the distance between the leaching facility and the onsite well to 117 feet in lieu of the required 150 feet. • 310 CMR 15.248 : To construct a septic system on the parcel with no reserve area. The variances are granted with the following conditions: 1. The septic system shall be installed in strict accordance with the revised plans dated January 8, 1997. 2. The designing engineer shall supervise construction of the septic system and shall certify in writing to the Board that the system was installed in strict accordance with the revised plans. These variances are granted because you stated the existing system failed. This proposed replacement system meets all the requirements of the State Environmental Code, Title 5 Sincerely yours, Susan G. Rask, R.S., Chairperson Board of Health TOWN OF BARNSTABLF `J `3 7 " o t y o ` 304 BONE HILL ROAD 97-216 LOCATION SEppgqA��G��EFF��# n�q. a VILLAGE CUMMAQU ID ASSESSOR'S TVIPiP&LDT-��/ I .f INSTALLER'S NAME&PHONE NO. ELL IS BROTHERS CONST.CO. SEPTIC TANK CAPACITY i rnn LEACHING FACILITY: (type)SAS R€NCW INFILTRATO e) NO.OF BEDROOMS 3 BUILDER OR OWNER W T i i I AM ENOS PERMTTDATE: 5/6/97 COMPLIANCE DATE: Separation Distance Between the: _ Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist /7' Feet on site or within 200 feet of leaching facility) Edge of Wetland and Leaching Facility(If any wetlands exist �. within 300 feet of leaching facility) /0 S s Feet Furnished by S VEK PJ-R►J CX AI& S H O PLT- f I f g.� � f f � f i i THE COMMONWEALTH OF MASSACHUSETTS ✓ BOAR® OF HEALTH TOWN OF BARNSTABLE Appfiration for Disposal Works. Tons roc ' u Errant Application is hereby made for a Permit to Construct ( ) or Repair ( an Individual Sewage Disposal ` System at: ......... .. V .... .. . N .Loca d or o —c Lot -........................................... Owner Address Installer Address Pq ee el Typeof Building � ---- Size Lot.................�Sq. f t V Dwelling—No. of Bedrooms................................ .....Expansion Attic ( ) Garbage Grinder a Other—T e of Building .............. No. of persons__---_--_-__--_-_____._--___ Showers — Cafeteria Q' Other fixtures -------------------------------- . .......•---•-----------------•--------------------------... 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..................... 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........................................ Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ �Z4 Test Pit No. 2................minutes per inch Depth of.Test Pit---................. Depth to ground water........................ a --------------------------------------- ----••--- ---------•------•--•-�_ VA ----- ......................................... Description of Soil ... ----------------------------------------------- x7c, _------------ -----------_-- x ---------------------------------------------------------------------------------------------------------------- -------------- --- V Nature e 'rs or Alterations—Answer when applicable..______ _-----. ...... . ... ............ . — Agreement: The undersigned agrees to install the aforedescribed ividual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental o —The undersigned) further agrees not to place the system in operation until a Certificate of Com ' een issued b e b rd of health. Signed .................-------- -- --- ------- 1--------- Date Application Approved By ....................... ----- -------------- --- --- - -- - . -- /..".'- --........................ J 7.....Date---------------- Application Disapproved for the following reasons- ---------------------------------------------------............---------------------------------------- - --------------------- .................................................. .. .......................... .. ... ........................................................................................................... -----------------.....................W. Date Permit No. ---------7- L Issued .. Date .r NO­!F2-- (4�" THE-COMMONWEALTH OF MASSACHUSETTS t BOARD OF HEALTH f' TOWN OF BARNSTABLE Appliration for Diopooal Works Tonitrnriion ramit Application is hereby made for a Permit to Construct or Repair (X Individual Sewage Disposal System at: - .. ........ �:? . �,......,�L.,4 ..�..--/'// :...&f .................. -- --------•--••------------............------ Locat!o�Address or Lot No. YrX'......'L-:a ,ddr� .............................. ................... ... /L.I J..C:Q.•.:-- -...........- ......... - ............... Owner / Address Installer � J•••••••Y^'-•••"�-'•••• Y• Address UType of Building Size Lot.....................:......Sq. feet F—I Dwelling—No. of Bedrooms................3.....................Expansion Attic ( ) Garbage Grinder `4 Other—Type e of Buildin� yp g ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) d Other fixtures ......... ------------------------------•------------------------------------------------------ --------- •-------------------------------------- W Design Flow...........................................gallons per person per day. Total daily flow........................................... WSeptic Tank—Liquid capacity...I........gallons Length....!--......... Width...r:......... Diameter................ Depth................ xDisposal 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 ( ) I� Percolation Test Results Performed by...........................................................----•---------------=---------`-:.. Date----•-••---------.--_..=1-.. ----.. Test Pit No. I....' _._minutes per inch Depth of Test Pit.................... Depth to ground water_-_-' ............ G� Test_Pit No. 2...............minutes per inch Depth of_Test Pit...........:.......... Depth to ground water.............:........... ax -------------------------------..............•--------- v' O Description of Soil............... + y • ' .. ---- ...7.-----------•--------------.. • -r, _.. 1---- ........................... .........................................................................................................................f....... ___._ _ _/_.------------- - V. Nature of Rep or Alterations—Answer when applicable._...__.l a__ ---- ---- Q�,/.---..... - �!�- r=� - ... ............ ----------------------------------•------------•----------------------------••------------------------------•--•---------------------------------------_---------------- Agreement: x The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Co The undersigned further agrees not to place the system in operation until a Certificate of Compl'ance has�b� n issued by thesboard of health. Signed .. -------- ---- --- -- / ..... � � Date / _ -. Application Approved BY ................ ....�.../�� ,�'. .----- ---------- .�. .��a��---------�-7 Application Disapproved for the following reasons: ..--- -------------------------------------------------------------------------------------- -------------- --------- ..... ........ .......... -----......... ..........--------.........------- ....-------- ------------------------- ------------------------------------------------ Permit No.` '�_ Issued ...... ........ _ 6 ¢ c .... ....r` ............ Date .... 7 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Gerttftca#e of Tontyliance THIS IS TO C RTIFY, That the Individual Sewage.Disposal System constructed ( ) or Repaired ( ) ,_--/ by f -�iz�! • ---------------C--- Install � at .................. has been installed in accordance with the provisions of TITLE 5 of The State Environmental Code as described in the application for Disposal Works Construction Permit No. ......... dated ..... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. h DATE............................. .. ` Inspector ..................... -1 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH // TOWN OF BARNS44RIBLMGINEER MUST SUPERVISE., No.............. .... INSTALLATION AND CERTIFY IN WftfING,.-.•d Uiopooal Works ion T E SY EM IN STRICT Permission is hereby granted............. .-----------......--------------------------.......--- to Construct ( ) or Repair ( an Individual Sewage Disposal System at No. "i' ' ---- 11 i a-� U� � (J•`e ;� '-/...- �� c `Street o,. r - as shown on the application for Disposal Works Construction Permit No... 2_)/ Dated-__-_��_.........:_..f.'_.... . -- - r7 Board of Health r DATE-------------=---— -- r-•-2....--•----------------•-- FORM 36508 HOBBS h WARREN.INC..PUBLISHERS �� 'B�ECFlN `j: �O P,rv► TOWN OF BARNSTABLE Cf TN E r�� �N�►� . �� �' OFFICE OF DA"ITAn 's BOARD OF HEALTH moo. p 1639. `� 367 MAIN STREET �o MAY HYANNIS, MASS.02601 Board of Health Meeting Agenda January 7, 1997 7.00 P.M. Conference Room Town Hall Building Public Comment NpN 1_ 7:00 zgj. Hearings: Oplk RcD..� Tio Ralph Cadarelli and John Cadarelli - Recurring violation of discharging wastewater j-,vAiNAc-4e into the street at Cape Fish and Lobster Company, 406 West Main Street, Hyannis. I1L,Var-is-nce Reg uest''Old-Basinessk-=^' -J"ula 4, 1q9 s�,.3o Joseph W. Enos - Requests variance setback between leaching facility and well Pl�nsto 33 feet at 304 Bone Hill Road, Cummaquid. he rev ,�pd a o �hcw (z? rvP a�e� aw�� M .�ebls or .10 rescs e_�r,rrz Variance-Request.(N_ ew'Business) �� Cafe at the Air ort 480yBarnstable Road Hyannis - Requests _;:5 Ronald Semprini, Ca p permission to install seating for 20, wishes to utilize the existing four restrooms available at the airport. -zo seal, a�t�tad Reskeor�s s1� ll � 'flo k+;ned j aePl�c�n� �n a sa.,; � V. Old Business/New Business: 7.50 Timothy Maloney, 45 Uncle N's Way, Hyannis- Correspondence -'�rVUA&I'.'`,tkr 0" ��S+nQE'tecQ A�r�w LEI. Disposal Works Installer s Permit: 9:00 Michael Kevin Leary, 56 Seabrook Road, Hyannis VII. Minutes. Next scheduled meeting January 28, 1997. p agend doc TOWN OF BARNST:ABLF `J 304 BONE HLLL ROAD J LOCATION AGE # 9:7-216 VILLAGE CUMMAQUID ASSESSOR'S LDYJ lot 4 IN NAME&PHONE NO. ELL IS BROTHERS CONST.CO. -SEPTIC TANK CAPACITY.150n LEACHING FACILITY: (type)SAS TRENCH INFILTRATC��ej NO.W BEDROOMS 3 BUILDER OR OWNER WI LIAM ENDS PERMTTDATE: 5/6/97 COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility S Feet P.6yaie Water Supply Well and Leaching Facility (If any wells exist , on site or within 200 feet of leaching facility) 7 Feet Edge''of Wetland and Leaching Facility(If any wetlands exist r within 300 feet of leaching facility) 0 S Feet Furnished by SITE PLgN CKflICT 1k, S HOPIT } t� ' ✓ d S C® I - Town of Barnstable Department of Health, Safety, and Environmental Services BARNFrAMAB& Public Health Division 9 MA89. 1639. 1� Eon 367 Main Street, Hyannis MA 02601 Office: 508-790-6265 Thomas A.McKean FAX: 508-775-3344 Director of Public Heahh January 8, 1997 Craig R. Short, P.E. Professional Engineer P.O. Box 781 Dennis, MA 02638 Dear Mr. Short: You are granted variances on behalf of your client, William Enos, to construct a replacement septic system at 304 Bone Hill Road, Cummaquid. The variances granted are as follows: • Well Reiulation, Part XII Section 2: To reduce the distance between the leaching facility and the onsite well to 117 feet in lieu of the required 150 feet. • 310 CMR 15.248 : To construct a septic system on the parcel with no reserve area. The variances are granted with the following conditions: 1. The septic system shall be installed in strict accordance with the revised plans dated January 8, 1997. 2. The designing engineer shall supervise construction of the septic system and shall certify in writing to the Board that the system was installed in strict accordance with the revised plans. These variances are granted because you stated the existing system failed. This proposed replacement system meets all the requirements of the State Environmental Code, Title 5 Sincerely yours, Susan G. Rask, R.S., Chairperson Board of Health TOWN OF BARNSTABLE - yoF tHc root OFFICE OF w 1 d'• 55 mP °� t ' BOARD OF HEALTH i DARISTAn MAN@' moo t639. �' 367 MAIN STREET HYANNIS, MASS.02601 Board of Health Meeting Agenda Janusry 7, 1997 7:00 P.M. Conference Room Town Hall Building vplil � Public Comment NEIN c - 7:00 �.�I. IIearings: Ralph Cadarelli and John Cadarelli - Recurring violation of discharging wastewater ON„•,-c-. (�n�NFlc,c. into the street at Cape Fish and Lobster�Company, 406 West Main Street,(Hyannis. C II1.,Variance Request (Old Business): �u�� r►�q7�;-� s�730 Joseph W. Eno tss;—Reques variance setback between leaching_facihty`a 11 �- to 33 feet at 304:Bone=Hill Road, Cummaquid=� ��ePrvd Plans _ n Ll--►�e—r-p v.��d 4-v - _ IV. Variance Request (New Business): GRnNt`� .s�an Ronald Semprini, Cafe at the Airport, 480 Barnstable Road Hyannis - Requests permission to install seating for 20, wishes to utilize the existing four restrooms '-NQ more t1"°^ available at the airport. 20 SCoc -- at rc?c! i a 5etfN,t6 _.,R�slrvv� :Tall 1�e. (hdin�+,nQ� aQpllcr.,n-E In �J V. Old Business/New usiness: O tz 7:50 3'imothy Maloney, 45 Uncle �1's Way, Hyannis - Correspondence I c ` oun v�Y,tRl' c�one oY1 �nS+nQecQ 1 S c I}A-tJ_ :.x ►U:.�f v�ek-�lec� �•a�l (��i.(!L �: i. 17isposal Works Installer's Permit: t"''tN" aD 9:00 Michael Kevin Leary, 56 Seabrook Road, Hyannis VII. Minutes. Next scheduled meeting January 28, 1997. agend doc TOWN OF BARNSTABLE CF THE Taw OFFICE OF Beaa9TeaL i BOARD OF HEALTH MAS& 0 °o i639• \0m 367 MAIN STREET cMnr� HYANNIS, MASS.02601 January 8, 1997 Craig R. Short, P.E. Professional Engineer P.O. Box 781 Dennis, MA 02638 Dear Mr. Short: You are granted variances on behalf of your client, William Enos, to construct a replacement septic system at 304 Bone Hill Road, Cummaquid. The variances granted are as follows: • Well Regulation, Part XII Section 2: To reduce the distance between the leaching facility and the onsite well to 117 feet in lieu of the required 150 feet. • 310 CMR 15.248 : To construct a septic system on the parcel with no reserve area. The variances are granted with the following conditions: 1. The septic system shall be installed in strict accordance with the revised plans dated January 8, 1997. 2. The designing engineer shall supervise construction of the septic system and shall certify in writing to the Board that the system was installed in strict accordance with the revised plans. These variances are granted because you stated the existing system failed. This proposed replacement system meets all the requirements of the State Environmental Code, Title 5 Sincerely yours, usan G. Rasl ,A.S., Chairperson Board of Health AIG R. SHORE', P.E. PROFESSIONAL CIVIL ENGINEER, CUSTOM DESIGNER P.O. Box 781 11 Dennis,Massachusetts 02638 Telep►7 n (508)385-6530 `flax,(508 8�3063 December 11, 1996 4 Mr. Thomas McKeon fI' 2 199 Barnstable Board of Health o 367 Main Street Hyannis MA 02601 r Re: 304 Bone Hill Road Cummaquid, MA 02637 File #1-798 Dear Mr. McKeon, On behalf of my client, William Enos, I am requesting the- following variances, from the Town of Barnstable Board of Health regulations: Well Regulation, Part III, item 12 Distance form the leaching facility (S.A.S. ) to a domestic well, 150' required, 117' provided, a 33' variance required Plans of the proposed septic system and the existing house plans, plus the at filing fee of $65.00 are enclosed herewith. Please contact me regarding the Public Hearing date, location and time. .S If you have any quesitons or need additional information, please don't hesitate to call the office. Very truly yours, _ } Craig R. Short, P.E. Enclosures cc: William Enos William Robinson PROFESSIONAL CIVIL ENGINEER, CUSTOM DESIGNER P.O. Box 781 Dennis,Massachusetts 02638 lehl71'it�lt^ (5l't�i!_3�3Ei-6530 �. . * - r3 December 12, 1996 E' ` SEC / Mr. Thomas McKeon l9 TOWN OF BARNSTABLE 9�. BOARD OF HEALTH 367 Main Street , V Hyannis, MA 02601 -RE': 304 'Bone Hill Road Cummaquid File #1-798 Property of Joseph W. ENOS Dear Mr. McKeon: Enclosed please find four (4) .copies of the floor plan to accompany the Variance Request for the above captioned property for hearing scheduled on January 07, 1997 at 7:00 PM.. . Thank you in advance for your assistance with this Very truly yours, Claire Wagner- mball Research Assistant CWK/ 304 Bone'HIM Road .` Cummaqu d Enos Property' r /S r Gov, Tub Bedroom Bathroom Kitchen Dining Area Toilet MCA J7o r ` Living Area Bedroom Bedroom A orif �; n� �u�N CRA I G R. SHORT, P. E. Co12 P .O. Box 781 �.. Dennis , MA 02638 o Mre Thomas McKeon TOWN OF BARNSTABLE . BOARD OF HEALTH 367 Main Street Hyannis, MA 02601 AMYPM WORKSHE]ET ., OMER::_fo s p�-► u C,.v� ;. Page 1 oe: Q M a►1 n -- TITLE RCI'. Address k P.p. 30 Job ----------------- ------------- 4- Addresst Ab UL-ters: ; TtI f4aP/Parcel :ReF/©k/Pg 33 Name: s Address: M Map/Parcel 33 y O� 1 Name: �U Address: :Cj'z-R�/451. map/Parcel 33 10- NamesAAI��p cP Address: mm wra ,M g d-��, � MaP/Parcel - -4-ho , Names Address: ..i Map/Parcel Name: j Addresst Map/Parcel• Names i Addressr Map/Parcel ' X, Names Address: , . t dd �� �� � �Q�t�?w�� �� �� �� ������ ���� �� � �� TOWN OF BARNSTABLE y FTHET�� ��P�♦� OFFICE OF HAMSTAHL i BOARD OF HEALTH MMd p� cos,i639• �� 367 MAIN STREET 'Ea MAY HYANNIS, MASS.02601 March 21, 1997 Mrs. Mary Jacobs, Assistant Town Manager Mr. James Tinsley, Acting Town Manager Town of Barnstable 367 Main Street Hyannis, MA 02601 RE: Three Bay Embayment System/Nitrogen Loading Study Dear Ms. Jacobs and Mr. Tinsley: The Board of Health received information from Ms. Maureen Gildea and Dr. Dale Saad, regarding the staggering findings of a recent nitrogen management study for the three bay area. This is a very important issue requiring attention as a very high priority. We understand that the Planning Department, under the direction of Mr. Robert Schernig, was instructed to look into several potential solutions. The Board of Health respectfully requests a status report of the Planning Department's evaluation in six (6) months. We look forward to working together to resolve this problem. Sincerely yours, Aw Susan G. Rask, R.S. Chairman Board of Health Town of Barnstable SGR/bcs jactin .. .. .. .6'YI' 6'-O• �•-O' 6•-O' z Z i 0 3 2 L O C 2 aei 5 —' S C i2i. B �i•`ai C � E y E D In _* -------- - --- 12 v' p z117 ]M2 O ,T OTON 7e17 Q in BELOW A 7112 � ! 2117 7e17 A •L� J. - � 137 d5b �b� 7RI C�4 .+� 4^ BEDROOM ' b! T 4 LINE OF PI ST FLOOR {yp� fqy 71]I 4 WALLS DLLOW L`E ~• 4��¢ �� CONTRACTOR TO LOCATE b CONTRACTOR SMALL PROVIDE BEDROOM 'WINDOWS WNER_THEY AVOID ATTIC ACCESS A8 REQUIRED pp O ROOF FRAMING. BY CODS ! / "I aa F F v CONTRACTOR SHALL PROVIDE v p;LWS y?5 I$F ATTIC ACCESSBBODE REQUIRED U GS8 i CTI4 rl LINE OF FIRST FLOOR ' >y,� su A71 WALLS BELOW h d OPEN RAIL ( •�!q Q bz ------------------------ --- -- ----------------- -------- BATH 11] lll///aaa Z 6 H r-N CONTRACTOR SHALL PROVIDE HAVE ACCESS AS REQUIRED BY CODE ] A F p w UNFINISHED § A STORAGEIiIIIIII[Iffial SH Pe L 2442 A9 LINE OF FIRST FLOOR �. I'•V1' 1] 4S+ WALLS BELOW b � z '\ _____ _______________ ---------- oae t a j, pN I BOOKCA866 d.0• >yo�0sa 4. ]11z z11z ya $ t5#�gAQII e 5 4' rigs daaaDDg ggp� .. #_' 1_5 1-6• fill �96 a'-c yr I n•_o. ee��i� 1 ��WeSj�. D'-o• 1'-1' �'-t0' 22'-0' E6[ 2112 B E G. D Q .5 .5 •5 J Lu LL o_ J J =� QD u • �' 0 w C Z m 0 LLI zr o 8 ' < - ; CONCEPTUAL ROOF PLAN h Z (� 1"�'Ily7✓/ a fA - c V 3--L 3/4 n s ® ° D MATCH LINE ul ° D m a A () - � n � E O a . � C sou M'-6 1/4 u D s> .S i k-.-. VT n ■ ■ no i a. i , a •+_ -u A O O 0 O 00� 0+ (1 e a M w S m Z ° J v z 50 P - - U i m w� 1 C-O' 3•� o �n '---------- --------- Ll Li B-3' 3'-3 W' th I -- _ Q '. 1T-A 1/4'- CO p U 4 a= i r 4 D O b r A■ O OU m m -�■ r � I i ts 3/4' 3'$ 0 w-O' ON a D Oto 4 00 y AA Lg 2 4 N p a)- a 70 p m Q . = 4 �2D�ppJ AV RN •-z - AI . j�jj0 PO 63. •4.R,1 NIB a.,0 D�z z xz Or• °Fm _ film >4-1 $> a .1 ,4> 4a-IV MOO in Nx zm iz1m0 Oi of �O * >Smn� ■°•im r� rE rm ■ �r¢mc x IT Of 0; �o pF AF sP wa ■ m r Ow 00A zo r r r r . -STAX NO tM&RUSONC 0000 VNIY . SCALE SS 1/4'.I'-O WEAILY ACRO ➢c COMM as W COPYRIGHT DATE REVISIONS me Am"""OT�'"'ORRM sum NORTHSIDE PARTIAL FIRST FLOOR PLAN .'�W7�'A"ps n�M q - NORTHSME HEREBY EXPRESLY 0 1 2 ♦ 3 CCOMM "ORrRsa C� RESERVES HS COMMON LAW DESIGN . -AssuRo NO RL PCHSORJIY OR UARLM DESIGN COPYRIGHT.THESES PLANS AREE NEW BEACH HOUSE FOR: ra.RT LOM OR RArARo■XWAM NOT TO BE REPROMX:M SHEET NO. � R.. N ASSOCIATES CHANGEDROR MA COPIED INM A ANY DRAWN. DATE FDLOI OR MANNER NHATSOEVER MR. t MRS. DAYID P A R R E L L A T" eum Nmnams CON TRxi a/2/04 304 BONE HILL ROAD THE ■AW K TAKER a VM LOOK wITNwT '" N PMMIS THE I:I o[s WADW wof wAroON"tow pSiINCTIVE REST YAFL k COMMERCIAL DESIGN EfaYiEss tIR77Q1 PERMISSION CHECK€D .. o[Pa,RRRxr ArDIaR R�oTaR V41 MARS STREET.rARuouTNvoRY.MA oiRY3 AND CONSENT OF NORTHSIDE FOR REVAV NO AT4ROM REOMmNC N (SO!)36R-S210 - (SO6)J6i-RROY BARNSTABLE, MA rass■s saaRvo.ols 0 inR¢nsuL OESICN. i A , " ev ,. ,, r�..,_ 5 .>,_ xa"r••7s1F �._.-"'2'",'.x.._",..'`,-.>-.'•`T�•-F�•,y-:re.:.'.�y. „->: �".a 3 .. f._,r✓._rv..,.S.r.-..w,....M y'�t•...",*'AR.•.,.,..«._q,.-.-_.,.yv.�-a.......•.:-,;E.-.a,,-._-._-r:..•-,.,:..,._..-w.^. •aS--F....-.,._,-._..._.-..:.:-....'+{i.._"L.,.--...::..'..,r,.�-r.. \ - ._.>a.`.» W,:...r.!u'+•"°'':.�..`^._ 'S, .YG ._:'t `.-...•_e*'.'_.r r+_. ..___ .. '.�,._."`% i .fe :qr Eit - ., • ,?:r'r>.,x-.a.r...a._{.tt_.. .,t,.,•,.,,.f:...• .. Cyy� - - • is. '- -_.._... ...,s., ..., a. w. ..,... " ., ;.:::*.. is ..."... _✓.7.� 4!'!7 i *'• -':,a;.q•. a_t .«._-.�- ._ .. .... - �C"f.�. :+i7 ,N - - ,�... Wl- ' ,T•.l;r' !2r L 1. ,3r4r•; ,. NO'F OI�CAtE. .. ;, Y_AAL AL wt M_I7r wrr iD�6r AL AIL F4. 1 BJFl pF;[I A�JF'I • - •. �ea�mane YELYTAIlp<1E/1M7 � law� KYi�EtH e.v.a- AL I4 g ♦ AL mv.0.3 -. If,_0" ISM GA I ON sm - TANK CH-10 LOADING) F= MAIM® ZW C f, Not TO SCALE LOT 3 r \ r ! $ ZONING INFORMATION* v\\ O QQOO uiasz+a® wAOWv ` - MINIMUM LOT SIZE: 43,560 S.F. 0000 _` MINIMUM LOT FRONTAGE: 20' MINIMUM LOT WIDTH: 125' - __ - 6 - �L re`--... e 'y` p••�''. V: � MINIMUM FRONT YARD SETBACK: 30' 'PARCEL 20 YARD SETBACKS: 15' i��♦J _ REAR RD MINIMUM SIDE AND E © � �� - - -.ro,, NA7UMUN BUILDING HEIGHT: 30' !I, i t T _ r/ i /. LOT 4 J � ,» RAL NOTES• iw - ».. 1. HOUfzE :i't%4.-�8 304 rig_ 2. ASSESSOn ro::kBER: 537-14 2o.e�NWi i I _ F S ZONING DISTRICT: RF-1 mow.^ r a CEoM �-- E 4. FLOOD HAZARD ZONES: C dt A5(ELI2) -'� � /.JtF' 3•r ,s,• `� �"'-' as _ re 5. .TOPOGRAPHIC INFORMATION COMPILED FROM.A PLAN BY OTHERS. / 11'CEDM may. 11 CEDM , TTACESS�,Tj' zeyz .I OA�O•u0 1•a00 " B. ELEVATIONS SHOWN ARE BASED ON NATIONAL GEODETIC VERTICAL DATUM. roc D<WMWE �aD rAiSAw^MZ[10 4 ¢SDI •'?�'�" I .\ CAILON�nC T •, ANK Rmw 20 Eliv, M.9a F ATAkwtYO nM .1 yy DITW :'c"m MO _ '�,. 7. LOT COVERAGE BY STRUCTURES:,4,546 S.F./22,407 S.F. 20% 2) M ..—E 11• 2\.1 - - cnE?Y '� 7/6/04 1 NoW UWT OF 1YM IMF �'AR1 wr l e•ceoARs i .. s/19/Ot A00 OE01 CIMEN90NS,A00 FR[p095D rtll,LAf1FL IR/PSTURt£D BUFFER.AWttST FWTRiMT DATE REN4ON .. PLOT PLAN wvv' °• PREPARED FUR B � �9�c I �1 ONE HILL RO= �� BARNSTABLE HARBOR BUILDERS i IN BARNSTABLE MA PLAN OATE: JAN. 15• 2004 - PLAN SCALE: 1" a 50 ldF V • f - � T fI f9A2TAL p104Dii I 0.RSRMRII 0[9Oi .. - - ,. ... ,.. .xs:.:T.. .. _ �x..r .._ .. .. .�. �.., •�.a11L a RAT qAM>< a4 ^ :.Rnb Ma ODOFs us RAKMG 1 3 �...� '0G1YERtlY/�OQ1nLL i. -r ,+ T. - ., - - Y. •uxz._wa 3a'wd_T.b4t4b...!,..a.sa:,..:r+ 101 TORN MALL SC;JA4E-!-AiNO'JTH,0.'A,`025G0-508.495.1225-5M495.3229 f.. , •. ,� - - PRNUT NUMBUi. G3i++3'?i'>D FILE NAAS 03039PP DRAYBI I - Q _ BENCHMARK -7 9 TOP OF FOUNDATION 20 FT. MINIMUM FROM CELLAR _ _ _ I _)IL TEST g ' ELEV. 10 FT. MINIMUM 10 FT. MINIMUM FROM SLAB OR CRAWL SPACE DATE OF SOIL TEST s !9c. CLEAN SAND SOIL TEST DONE BY (ASSUMED) CONCRETE +11R tNESSED BY _ C:-�. .� r `4. COVERS 4" SCHEDULE 40 PVC PIPE I LOAM AND SEF_ OBSERVATION HOLE. 1 ELEV.- ?SC' OBSERVATION HOLE 2 ELEV.= MIN. PITCH 1/8" PER FT. 2' _AVER OF PERCOLATION RATE 9 MIN./INCH AT INCHES --" PERCOLATION RATE MIN./INCH AT INCHES EL 97. r * 1/ " TO 1/2" r DEPTH HORIZ TEXTURE COLOR MOTT_ OTHER DEPTH HORIZ TEXTURE COLOR MOTT. OTHER -- -— _ WA ,HED STONE I Jo..n CL �- �'- — -�- �_�� �, VENT "2 AP L oar, - ( ") F 1 9�. 33 - ' -- - -- - - - y�J�M,r I NOT REQUIRED -__ 4" CAST IRON PIPE + � � I OR EQUAL MINIMUM PITCH 1/4 PER FT. I ? 1 CU. FT. OF 413 S. e! /� ' — r` 93. 7 CONCRETE � aa.s& 7S Yx _ FLOW LINE — - �i S s3 \ a► ANCHOR 20 C, Jan d - -S_/I _1_L 92.L7 i ELEV. = 59.0 -TMIN. - -- - -- G/.c a/T,! 1.Sy- Iy �- ELEV. = y.f 00 2.0 t 00 r . �L 87.oa ELEV. = yJ.2S GAS _ `!y.4 i 6" SU P ELEV.L= 44.30 o ro ELEV. y.�_2 1Zonas -- -- BAFFLE ELEV. - F, •►t 2.J y DISTRIBUTION c, is H c �► ��c �ry �--► LIQUID -- OUTLET L - — - E,,.4-lEv* �/ 7/4 DEPTH L _ BOX INFILTRATORS WITH STONE IN AN sw r�� H aS v.M*A 4 T 1 N ____ (TO BE PLACED ON FIRM BASE) / I Z op FEE 4 I CHES TO BE WATER TESTED , !r� 93. 5 FEET 19 INCHES / '` 'f� ' � TRENCH FORT.ATION - 6 FEET 24 INCHES 1 500 GALLON IF MORE THAN ONE OUTLET __.__.__ -_ __ �___.-__ 7 FEET 29 INCHES I (TO BE PLACED ON FIRM BASE) ABSORPTION .HELL sOw �'�_2 WATER ENCOUNTERED AT ELEV. _ � " WATER ENCOUNTERED AT ELEV. 8 FEET 34 INCHES SEPTIC TANK 501E AE3�ORP ' IOP� V) ! ZONE �+ WAS U 1 1/2"-� SYSTEM (SAS) !NDEXA7.! j WASHED STONE ADJUST_� • 2 i l-FGEND: DESIGN CALCULATIONS I BOTTOM OF TEST HOLE OR USGS PROBABLE WATER TABLE ELEV. - 8•LL- EXISTING SPOT ELEVATION 00 0 NUMBER OF BEDROOMS SEWAGE DISPOSAL SYSTEM PROFILE t OBSERVED WATER TABLE ( c/a /!`a ) ELEV. _ _070 EXISTING CONTOUR ----00---- GARBAGE DISPOSAL UNIT NOT TO SCALE FINAL SPOT ELEVATION 0.0 TOTAL ESTIMATED FLOW o FINAL CONTOUR --- ( ' c GAL./BR./DAY X BR.) GAL./DAY d- o T SOIL TEST LOCATION REQUIRED SEPTIC TANK CAPACITY - GAL. O -'--"--�� - - UTILITY POLE O ACTUAL SIZE OF SEPTIC TANK GAL. TOWN WATER W-= -W SOIL CLASSIFICATION 7_r _ CATCH BASIN \10) DESIGN PERCOLATION RATE < MIN./IN. GAS LINE —G=— EFFLUENT LOADING RATE ^ a GAL./DAY/S.F. LEACHING AREA O 40' +- (100x 1 SQ. FT, LEACHING CAPACITY (AREA X RATE) S GAL./DAY .ea < -7� RESERVE LEACHING CAPACITY 3S 7 GAL./DAY 338 I I ; NOTES: 1 1. ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.P. `� G 2 TITLE 5 AND THE TOWN OF -1-4,Z - - '�►4' • ` RULES AND REGULATIONS FOR THE SUBSURFACE DISPOSAL OF SEWAGE. 2. ALL COVERS TO SANITARY UNITS SHALL BE BROUGHT TO gyp, WITHIN 6" OF FINISHED GRADE. D►' 3. ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE OF WITHSTANDING H-10 LOADING UNLESS THEY ARE UNDER OR WITHIN 5a �,J>f I 10 FT. OF DRIVES OR PARKING AREAS. H-20 LOADING SHALL BE USED UNDER OR WITHIN 10 FT. OF DRIVES OR PARKING AREAS. i f k ANY MASONARY UNITS USED TO BRING COVERS TO GRADE SHAM AQ y� BE MORTARED IN PLACE. / \ S NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE NATH 45 a ti�D , uLtL)LC vK LUNINv RLGULATIOkJ>. UWtvc_� / APPLICANT IS TO ! OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY. E>(/S �iit/G' Y I 6. UTILITIES SHOWN ARE APPROXIMATE ONLY, EXCAVATION CONTRACTOR '~ I --A r� QWif Aye ►i� I r 1 IS TO CALL "DIG-SAFE" AT 1-800-322-4844 AT LEAST 72 HOURS 7- 4 PRIOR TO COMMENCING WORK ON SITE. 7. CONTRACTOR IS TO VERIFY GRADES AND ELEVATIONS AS WELL AS SEP r/c 2 Z� 3 `'f- 3 SITE CONDITIONS PRIOR TO COMMENCING WORK ON SITE. rA Nrc a r� Cr 8. PARCEL IS IN FLOOD ZONE - AS PARCEL � SEPT/C LLss�o� 9. LOT IS SHOWN ON ASSESSORS MAP _ 3? ^ 4 0v`,< ITF,NK �_ sr ti Jf;3. 'i� rJir rd J0 PU^1P&0 ovr 4 \ � soFt&A.0 n . �:. ,�.r .•. �H GLaa. ti DrrL.7' 4' 4` APS&I, r 1' ICON vx)R rftry Tle rZ EQ u, RED 0 i Fa r r 0 N tP rZ TIT r jr M ! Z f RNAMF;v 'fa � HELL �i+ \ �� ; Di sT� �✓c � � rto� L ���CN/•.i4 ,-� rY G I 1 7 P2o ov0-4Kc `ID . / `�� CRAIG � �y tl SHORT n� SH � APPROVED: BOARD OF HEALTH J CI' L r �3 DATE AGENT °a•X 4EAcH ARE PROPOSED SEPTIC DESIGN r FOR PROJECT LOCATION 4 BONE PILL kC. CRAIG R. SHORT ---- —� I a PROFESSIONAL ENGINEER GA 781 385-6530 DENNIS,OOMASS. 02638 / ovrE - — �� 2 E:'✓t Q vE s P-+ ^ = DATE ( 8'_} C041 �— J aer REVISED JOB N0. V M LOCATION I',iAP RE` F� SHEET OF 01996 CRAIG R SHORT, P.E. BENC f iM ARK ------ - —_-------- ---------- TOP OF FOUNDATION I _ __-_- 20 FT. MINIMUM FROM CELLAR - _-, SOIL TEST i I - ELEV. t 0 FT. MINIMUM 10 FT. MINIMUM FROM SLAB OR CRAWL SPACE DATE OF SOIL TEST - = /��•�X-�-� _ ' (ASSUMED) \ CLEAN SAND SOIL TEST DONE BY CONCRETE WITNESSED BY CCL Q u r r y COVERS -- 4" Si;HEDULE 40 PVC PIPE LOAM AND SEED OBSERVATION HOLE 1 ELEV.=_ - OBSERVATION HOLE 2 ELEv.= --- MIN. PITCH 1/8" PER FT. \ PERCOLATION RATE _T�9 MIN./INCH AT _ w INCHES PERCOLATION RATE MIN."'' ` /INCH AT INCHES `- 2" LAYER OF E'Z 97.'r S 1/8" TO 1/2" DEPTH HORIZ TEXTURE COLOR MOTT. OTHER DEPTH HORIZ TEXTURE COLOR MOTT. OTHER --_ _.__ ___ - WASHED STONE 4" CAST IRON PIPE 4`��ly��C — _ - VENT /2 r RP _Loa y- S y (OR EQUAL) MINIMUM E L 9�. 33 - ,__- Min NOT REQUIRED PITCH 1/4 PER FT. z Q - - - 1 CU FT. OF G s.•, EL --- CONCRETE ^ C Q,a ,ash 5YS Y)L FLOW LINE -- E L �f .S' _ _ �, . ANCHOR 2 �-� Jan So !<� 9Z.L7 ELEV. 99.0 10 --T- 1 `"` 'o(t{ r-iii, / G/.c /1;i 1.S t 9.,. •,��'n J MIN.T - LEV. 9.f.00 2 0• /� -- I +°I gG' CZ j' .fzonss S/4 ytJ LEVEL ; I "' C L rs7,oa ELEV. - 9S.2S -� II '' ELEV. _ `�.� �_ __. _ I � 1 L GAS ELEV. m 99.47 �/6" SUMP ELEv. = 14. O -1► 1 ' _ r �- --- 1 BAFFLE DISTRIBUTION / 6 r-► r :;.t-i -c- igG/1GeT" Y M.dlu,-) %106 .� 5..�,n� i LIQUID-- ---OUTLET ------ -- 'Q3 J `� 71+ .: DEPTH -.��__--- BOX - INFILTRATORS WITH STONE IN AN - 5 FEET 19 INCHES (� BE PLACED ON FIRM BASE) IF MORE ONE OUTLET __ _� _x_�� " r�drTRENCH FORMATION I�4 - --- ---i----------L-----___ Et b'3 L _ -- T i 2 ee 6 FEET 24 INCHES 1500 GALLON SAIL ABSORPTION elE��- --= WATER ENCOUNTERED Al _ _ ELEV. _ WATER ENCOUNTERED AT ELEV. _ 7 FEET 29 INCHES �- i0 BE PLACED ON FIRM BASE) 8 FEET_ - 34 INCHES �E P TI C TANK 3/4" TO 1 1 2" _ h ZONE k"I WASHED STONE SYSTEM (SAS) +ADJUST4--? I FGEND: DESIGN CALCULATIONS ` SEWAGE DISPOSAL SYSTEM PROFILE BOTTOM OF TEST HOLE OR USGS PROBABLE WATER TABLE ELEV. = 8.2 EXISTING SPOT ELEVATION 00,�0 NUMBER OF BEDROOMS OBSERVED WA TER TABLE ( /94) ELEV. = EXISTING CONTOUR ----00---- GARBAGE DISPOSAL UNIT x NOT TO SCALE FINAL SPOT ELEVATION �.0 TOTAL ESTIMATED FLOW J_ o T 7 FINAL CONTOUR _ -- ( 1 r GAL./BR./DAY X t BR.) s'3 GAL./DAY SOIL TEST LOCATION REQUIRED SEPTIC TANK CAPACITY �' GAL ma UTILITY POLE -O- ACTUAL SIZE OF SEPTIC TANK GAL. TOWN WATER =W- -W-- SOIL CLASSIFICATION II CATCH BASIN lm� DESIGN PERCOLATION RATE < MIN./IN. ^� GAS LINE - -----G - -- -- EFFLUENT LOADING RATE • ' GAL./DAY/S.F. /�� / `r LEACHING AREA G 4 +-�/00 A SO. F7 v ` � LEACHING CAPACITY (AREA X RATE) � S � GAL./DAY -dip 3 RESERVE LEACHING CAPACITY T— GAL./DAY r: i Pn0PO4 "'G Sias Jr/ils. aT, tT L4�r- '-z Sv� L DOTES: 6,� ,1.0, -0,.:.= ';:mow' 1. ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.P. r ` 2 TITLE 5 AND THE TOWN OF RULES AND """"� •. REGULATIONS FOR THE SUBSURFACE DISPOSAL OF SEWAGE. 2. ALL COVERS TO SANITARY UNITS SHALL BE BROUGHT TO O t WITHIN 6" OF FlNISHED GRADE. �1 �a 3. ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE OF WITHSTANDING H-10 LOADING UNLESS THEY ARE UNDER OR WITHIN 10 FT. OF DRIVES OR PARKING AREAS. H-20 LOADING SHALL BE USED UNDER OR WITHIN 10 FT. OF DRIVES OR PARKING AREAS. 4. ANY MASONARY UNITS USED TO BRING COVERS TO GRADE SHALL I BE MORTARED IN PLACE. r-•- t ly 5. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEEDED OR ZONING REGU,.AiTONS. OWNE`? / APPLICANT IS TO OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY. r / 6. UTILITIES SHOWN ARE APPROXIMATE ONLY, EXCAVATION CONTRACTOR ``�� `�` P,WEL�./N6• W IS TO CALL "DIG-SAFE' AT 1-800-322-4844 AT LEAST 72 HOURS I 1,o T" 4 / PRIOR TO COMMENCING WORK ON SITE. EX OJT' WELL A--"- -- - 7. CONTRACTOR IS TO VERIFY GRADES AND ELEVATIONS AS WE - � 3 © Fr s �p,,•r C 2 '�s.- ? S __._ SITE CONDITIONS PRIOR TO COMMENCING WORK ON SITE. `Q ! �JbCC rA Nrc t� r 8. PARCEL IS IN FLOOD ZONE �-- CE�sF�cioi 9. LOT IS SHOWN ON ASSESSORS MAP AS PARCEL J - G�^4 } �\ SfPT1C. c �.� �s r,-v c. s e r�T,:. rA ri�c r o u a ?s�•�►P m a o v r �., ! TANK _ V r 1. L C ,ry s i•,+ C J.Ic owi N 0 1 2 r Q` o:. e.A P S&D I TZ7 �',t c t � 0 v � � Tore ✓A-?R ��#r�c� t2 �C�urRII�D : k wGL6 1zmr s uLA 1'ioti P-ARrTIT , TjrM IZ :DPNAMENTRL WELL ` jr 0 0RAAt/TE1D 43Y �. r s� 97 D1 s ;�..jQ� f3 d t-f iSa' �ZE Ur2G0 117 P20o0ooAro I Of 3 3° vA J!r.q AJ IC g )Z.E C�y r I;1D lJ _ `�;, I Iry Q 'r �2 T TL E S s E T. . 2 4 8 �. '� ,ti'0 12E. f ;z vl- APPROVED: BOARD OF HEALTH \ J c w. -` i Q, DATE AGENT Via.• t D i S j I , PROPOSED SEPTIC DESIGN FOR ch PC PROJECT LOCATION CRAIG R. SHORT — _ i PROFESSIONAL ENGINEER 508- P.j n0. BOX 781 385-6530 DENNIS, MASS. 02638 — '� R FM 0 v�.= SCALE LAYd''!G 3 AP CZ FDATE , �� F[ Ch P, REVISED J08 NO. w/ r eA N .�,E D i v M s�y�� i I V_&I REVISED LOCATION MAP R � �-- —� SHEET C,C- r 01996 CRAIG R. SHORT, P.E. BENCHMARK P 8793 TOP OF FOUNDATION 20 FT. MINIMUM FROM CELLAR SOIL TEST S _ /an•0.i 10 FT. MINIMUM 10 FT. DATE OF SOIL TEST MINIMUM FROM SLAB OR CRAWL SPACE <' r a, r �'lt P.t', ELEV. ;;LEAN SAND SOIL TEST DONE BY (ASSUMED) CONCRETE WITNESSED BY Ec . Is *a ^y QH. COVERS LOAM AND SEED a _ 4" SCHEDULE 40 PVC PIPE OBSERVATION HOLE 1 ELEv.= So OBSERVATION HOLE 2 ELEV, MIN. PITCH 1/8" PER FT. -1 2" LAYER OF PERCOLATION RATE 9 MIN./INCH AT I# INCHES ° PERCOLATION RATE MIN./INCH AT _ INCHES i --- EL 97..f t ` 1/8" TO 1/2' DEPTH HORIZ TEXTURE COLOR MOTT. OTHER DEPTH HORIZ TEXTURE COLOR MOTT. OTHER i WASHED STONE so n d y S y r 4" CAST IRON PIPE VENT 2 AP (OR EQUAL) MINIMUM E L 94. 33 J3 M,n NOT REQUIRED L� y S yR PITCH 1/4" PER FT. — z 1 CU. FT. OF G 113.47 CONCRETE r C �Q %'S YR FLOW LINE L � ' S? a ANCHOR 28 l: r an 'k - S1a , E l 9 2_.47 ELEV. = 98.a MIN. ---- c 7--:, -544 cA y 1T/ Z•S y }/t J 19M i n� n `-ELEV. a 9S.co �XJVOEp �� 96,• z f JZon� �4 -C L.9S.2S — 7 J 6" SU Pa 94. �Y- o ELEV. ELEV. ELEV. - 9 9.4 . 4� F� ^t 2 S y GAS BAFFLE DISTRIBUTION = / 4 f-o I-i 4z 01 C ,ry C mad,u-� ,¢ - < so,,,.,/ ,, LIQUID OUTLET ELEV.�0.3 J i 3 So, _j / p�s vn t� BOX INFILTRATORS WITH STONE IN AN ( � DEPTH TEE (TO BE PLACED ON FIRM BASE) z — 4 FEET 14 INCHES TO BE WATER TESTED 1''!� er1 a 3•va 5 FEET 19 INCHES IF MORE THAN ONE OUTLET _�0,"_4a '� ��d«,,TRENCH FORMATION M -- 6 FEET 24 INCHES 1500 GALLON sow ?;z 7 FEET 29 INCHES (TO BE PLACED ON FIRM BASE) T SOIL ABSORPTION WELL WATER ENCOUNTERED AT 14 ELEV = 87.0 WATER ENCOUNTERED AT ELEV. 8 FEET 34 INCHES SEPTIC TANK ►0 ZONE Pi 3/4' TO 1 1/2"-j SYSTEM (SAS) INDEX 47• WASHED STONE ADJUST/- 2 ' LEGEND: DESIGN CALCULATIONS SEWAGE DISPOSAL SYSTEM PROFILE BOTTOM OF TEST HOLE OR USGS PROBABLE WATER TABLE ELEV. y EXISTING SPOT ELEVATION 00,0 NUMBER OF BEDROOMS _ ^^ OBSERVED WATER TABLE ( �a/d /94 ) ELEV. _ EXISTING CONTOUR ----oo---- GARBAGE DISPOSAL UNIT w NOT TO SCALE FINAL SPOT ELEVATION TOTAL ESTIMATED FLOW FINAL CONTOUR — _ ( t' GAL./BR./DAY X BR.) GAL./DAY L c r SOIL TEST LOCATION REQUIRED SEPTIC TANK CAPACITY ' C' GAL. �_ ------ UTILITY POLE -c_ ACTUAL SIZE OF SEPTIC TANK ITO G GAL. TOWN WATER —W-- --=W SOIL CLASSIFICATION _ CATCH BASIN ®� — DESIGN PERCOLATION RATE < MIN./IN. GAS UNE G= EFFLUENT LOADING RATE 7 7Z GAL./DAY/S.r. LEACHING AREA 10' , 4 o SQ. FT. r LEACHING CAPACITY (AREA X RATE) 3 S GAL./DAY 7Q3x .74 i RESERVE LEACHING CAPACITY GAL ,DAY : r n.ZOPO �C� .TES Ir.git,�?, rT CLaG.GLrC Svi L �-,,j I i'a Dtr fLEMo✓g G NOTES: sA�MAV 4.o�Ar/*^-'o 1. ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.P. S 2 2 TITLE 5 AND THE TOWN OF 'r'A tj 1. -f RULES AND REGULATIONS FOR THE SUBSURFACE DISPOSAL OF SEWAGE. 2. ALL COVERS TO SANITARY UNITS SHALL HE BROUGHT TO DO ► WITHIN 6" OF FINISHED GRADE. i I 3 ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE OF WITHSTANDING H-10 LOADING UNLESS THEY ARE UNDER OR WITHIN 10 FT. OF DRIVES OR PARKING AREAS. H-20 LOADING SHALL BE USED UNDER OR ARKING AES. 4. ANYM SONARY UNITSNUSED 10 FTO BRING IVCOVERSES OR FTO GRADER SHALL t BE MORTARED IN PLACE. i 5. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEEDED OR ZONING REGULATIONS. OWNER / APPLICANT IS TO , I OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY. I� &x 1.5 TiNG \ Y 1 6. UTILITIES SHOWN ARE APPROXIMATE ONLY, EXCAVATION CONTRACTOR S \ IS TO CALL "DIG-SAFE" AT 1-800-322-4844 AT LEAST 72 HOURS j PRIOR TO COMMENCING WORK ON SITE. 1.5 r. �- - 7. CONTRACTOR IS TO VERIFY GRADES AND ELEVATIONS AS WELL AS r 2z , 37o.5FT f C ---- 4 ,0 r � SITE CONDITIONS PRIOR TO COMMENCING WORK ON SITE. SEP 8. PARCEL IS IN FLOOD ZONE t/ 9. LOT IS SHOWN ON ASSESSORS MAP 3?7 AS PARCEL \ o. EXISrlwG 4CPr :- TA"ic ro ad Puprpmcn ovr 4' TAN K _ � 0 V ? V(Ar/Q�IJ p<►Rr 'IIr � rEM i2 o 0 G7TZ A-✓TED 43 y' D S QRNAMFNTAL WELL `� ` � ) / . TA ti C E F2 0n++ c.a�c,y/NG �, r,c. L 1 r i \ 1� Q a — 7 /,So' R.EQ u r 2�0 I I"7 P/toPoaejo i \\ •Alga OF J 3' V PQ C 1,01/V C Ar )Z.E S C�v ED i .J r� �I S t.��C •y`��; (� -i r-� E S E�T. % . 2 4 8 �'� /Vv R E S�iZ VE Sf?S pa,�D4�.1 APPROVED: BOARD OF HEALTH DATE AGENT 3,• D 1ST. J (r v PROPOSED SEPTIC DESIGN i Zv 2 A PE CO-0 3A Y , ' i FOR ii,f 40 PROJECT LOCI'.TION 304 BONE HILL R D. i r , L 'Edfl h T R E N G CK VD CRAIG R. SHORT a A - PROFEPSSI BOX 508 . 0.44 `% GINEER �`��•�� \ � 71 1 385-6530 DENNIS, MASS. 02638 / A ou re - — --- — I DATE € � REti14vAy�2 A 2G�t a w SAS 4'_ 2EF�,"l�;e' ec1 F��v 8/ 9� JOB N0. _ 7y`'��']w/ e�GrAN �1EO/ VM sD LOCATION I`AAP REVISED L HEE r C 1996 CRAIG R. SHORT, P.L. BENCHMARK SOIL TEST ° s 20 FT. MINIMUM FROM CELLAR DATE OF SOIL TEST Zi TOP OF FOUNDATION _. _ - -------_- -- - " ,;,, , ELEV. _ / 00.00 10 FT. MINIMUM 10 FT. MINIMUM FROM SLAB OR CRAWL SPACE CLEAN SAND C a. ' ' SOIL TEST DONE BY � v e P.ag. (ASSUMED) ONCRETE VYI C� TNESSED BY E'c.(. L -a %'�" / r3.c�H. COVERS r-LOAM AND SEED y _ 4" SCHEDULE 40 PVC PIPE OBSERVATION HOLE 1 ELEV.- S - � OBSERVATION HALE Z ELEV.= I MIN. PITCH 1/8" PER FT. \ - 2" LAYER OF PERCOLATION RATE — '9 MIN./NCH AT "�f INCHES =`' L PERCOLATION RATE MIN./INCH AT INCHES E L 97. r t 1/8" TO 1/2" DEPTH HORIZ TEXTURE COLOR MOTT. OTHER DEPTH HORIZ TEXTURE COLOR MOTT. OTHER WASHED STONE So n d 4" CAST IRON PIPE ----- - --- 7,4�9-tW�x - 6VENT 2- - AP �.0a.ryl__ S j• 'yo (OR EQUAL) MINIMUM E L 94. 33 —- - - _ y S3 M,,n NOT REQUIRED ------ PITCH 1/4" PER FT. z 1 Cu FT. OF _ CONCRETE C cis,r.s a 7.S y,8. FLOW LINE ANCHOR ELEV. = 96'.� MIN. — ----- -- �VOE w ° O ELEV. 9.f.�O L �� 9� 1' .rtonA.t 87.00ELEV. s qS.2S � ELEV. 9.!- 2 GAS ELEV. a 99.47 6" SUMP v. = 94.3o -BAFFLE F� n 4 DISTRIBUTION REV. _ / c , . :, �•�,c ,r-y M.d,u., 71� UQUID _ OUTLET 4 03 J DEPTH _- �--- � - BOX / INFILTRATORS WITH STONE 1N AN , d ,fw r:i1 � f+yS 4 FEET 14 INCHES (TO BE PLACED ON FIRM BASE) TO BE WATER TESTED z '� � LrL 63 QO 1500 GALLON '` �0 !!d« TRENCH FORMATION 6 FEET 24 INCHES CHES IF MORE THAN ONE OUTLET --- -- _- ---�'- - Y ?�2 7 FEET 29 INCHES (TO BE PLACED ON FIRM BASE) SOIL ABSORPTION WELL WATER ENCOUNTERED AT yS:1rG ELEV. _ 6f WATER ENCOUNTERED AT ELEV. 8 FEET 34 INCHES SEPTIC TANK V) ZONE P4 3/4" TO 1 1/2" INDEX 7. T III - WASHED STONE SYSTEM (SAS) ADJUST /. I ' LEGEND: DESIGN CALCULATIONS SEWAGE DISPOSAL SYSTEM PROFILE BOTTOM OF TEST HOLE OR USGS PROBABLE WATER TABLE ELEV. - 7 EXISTING SPOT ELEVATION 00„0 NUMBER OF BEDROOMS OBSERVED WATER TABLE ( /Q /9G ) ELEV. = Q EXISTING CONTOUR ----00---- GARBAGE DISPOSAL UNIT NOT TO SCALE FINAL SPOT ELEVATION EOU TOTAL ESTIMATED FLOW L r FINAL L r SOILCONTOUR OCATION . REQUIREDGSEPTIC TANK CAPACITY GAL. ,f.. GAL./DAY GAL. 4& ------- --- _ --_ UTILITY POLE ACTUAL SIZE OF SEPTIC TANK / o u GAL. TOWN WATER SOIL CLASSIFICATION _ CATCH BASIN ®� DESIGN PERCOLATION RATE < MIN./IN. GAS LINE -G - EFFLUENT LOADING RATE _'�?' GAL./DAY/S.F. LEACHING AREA :O' 4 O ♦-(/00 x J - � SQ• FT. LEACHING CAPACITY (AREA K R_ATE) 5 74 7 GAL./DAY RESERVE LEACHING CAPACITY GAL./DAY p '1 0 F 0.1 r.' ,S-/n S JrA*/A. .T, :T tQ t�L O Cr•C. .0�1 S O I L I NOTES: 5441Ar d.a r/001.! 1. ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.P. TITLE 5 AND THE TOWN OF .29 L s " P 4 AF RULES AND REGULATIONS FOR THE SUBSURFACE DISPOSAL OF SEWAGE. i 2. ALL COVERS TO SANITARY UNITS SHALL BE BROUGHT TO WITHIN 6" OF FINISHED GRADE. 3. ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE OF 2� WITHSTANDING H-10 LOADING UNLESS THEY ARE UNDER OR WITHIN y8 S f 10 FT. OF DRIVES OR PARKING AREAS. H-20 LOADING SHALL BE I USED UNDER R IN 10 F 4. ANY M SONARY UNIT'SUSEDTO BRING VC KOVERSPTOGRADE SHALL 1 BE MORTARED IN PLACE. I A9 5. NO D TFRMINATION HA_, RFFNI (AAnC- Ac Tn Cn P 1 f \Aw'�Ll 1 F � !/. .�CE DCEDED OR ZONING REGULATIONS. OWNER / APPUCANT IS TO 1 OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY. &'yc J S r/NG !� I r / / 6. UTILITIES SHOWN ARE APPROXIMATE ONLY, EXCAVATION CONTRACTOR IS TO CALL "DIG-SAFE" AT 1-800-322-4844 AT LEAST 72 HOURS AWE: 4•/M6w 7- PRIOR TO COMMENCING WORK ON SITE. EA isT' y- . 7. CONTRACTOR IS TO VERIFY GRADES AND ELEVATIONS AS WELL AS a SEP C. Z L •� 7 .SF- / SITE CONDITIONS PRIOR TO COMMENCING WORK ON SITE. nJ /.SOO G+AC, T���r� a;i --_.__.-_� o r �— / 8. PARCEL IS IN FLOOD ZONE �- 7 s - �O • l 1 U 9. LOT IS SHOWN ON ASSESSORS MAP 1 AS PARCEL -ji 4 - o SLEPT -- — / 0. EAj,5T ,G 1Q �T' - 'A"OC re O! PQrNF►�'O ovr 4 \ TAN k \ r,E�� ? `� FrLt �D ,�+.� w , rH c �rCq �+ l� , R,T �- co�1.+4AStD 0�^� T30H VAR !/9NC-Ar a �' V �� W C j.4 tZ!r u L A r o A,r P•n fZ r TIT i t it�r l ,� r, r 4¢y4'ap �R 4,V7 .E0 43Y DI -57-A^jc&- F�C1M L �i)CH!nr4 Fr� C LFr'Y j Ru!hM NTAL WELL -` ► ~ V Q �1�b +d 97 iso' ZEQL);IL9 j � 117 F/topo_4&,c A J 3' 1/fl r/i9 N G 4" JZ&r �j 1 CD CktA€ J ,;,\ TITLE S" sE�T. j~ .' <, 8 C '� No REST -� VE _Fi S liar n II, I; ,c APPROVED: BOARD OF HEALTH C� � C1vi 1t �' • rv' 1 I oil IL DATE - AGEN T Da S T, r -- Dvx PROPOSED SEPTIC DESIGN ! '�J FOR "� •r 1 _. _- t- I ter/ PROJECT LOCt,TION [ � H r R E N c H a I p �► _o - - -- -- ---. p RAIG R. SHORT a PROFESSIONAL ENGINEER `\ i �.SQ.�� • r \ �� �� 508- DENNIS, X 781 385-6530 - 02638 ,Q Jc t q v4F L A Yt"e S AP-+CZ �q�bl DATE / i//`./��io► SCALE ., r9/a0LOAIo ,1 REVISED /8 p 7 J06 N0. --7 4 ,�7 w/ 44 LK�4•v .+�E D j u M sew L) REVISED LOCATION MAP --� [SHEET - CE -- - ------ -_ 01996 RAIL R. SHOW HARBGYP. � r � I TOWN LANDING/ PROJECT LOCATION ' cfi LANf % ' P(A N so 135 0 ti ' P40E° 97 L.C, P/,qN CAPE_--COD S 21gg1 ACE I CUMMAQUID I LOCUS NOT TO SCALE i 3 — REMOVABLE 24"D/A. CODERS REM0l1A9ZE 24',01A. COkER AL TEE GtPEN AT TOP SET ` /4 :T KNOI^KA%T 3"%1//N. FROM TANK cok rR _ X � � / / OUIZET KNOCKO!/T �, 'tlla /NLET TEE SET Gt'/71E"T /,"E SET r 10"M/N. BEL 00' 14 BEL OtY ?:• s, - BORDERING VEGETATED WETLAND L/GYJ/D LEI�EL L/QU/D LE✓�L_ R R GAS,e�r"AfFLE B.V.W.- � ) ,• � ,, CB/DH E FOUND B.V.W.-6 E�G \ 0,� „ B.V.W.-4 \ ,. —WETLANDB.V.W.-3 ,, •• '. ,�7°*�. ., a "1,1', ,.•, , ,: ti' :r ;;a+ h i; 'fol ON B.V.W.-2 ' } 10' — 6' 5' — 8" -- B.V.W.-1 �'`12►...,_ FLOOD "-'•.� HAZARD — ZONE A5 (EL.12) 1 500 G ` y FLOOD HAZARD ZONE C N ALLON SEIPTIC TANK (H-10 LOADING NOT TO SCALE LOT 3 ui W DOUBLE STAG<,ERED Q ROW OF ROSA RUGOSA 20 ;e 0 _ _ S1 a 46 1 .. ii 150.00 1 0 N N I N . (�'��°�, � w hp F ,. . MINIMUM LOT SIZE 43,560, S.F. 00 EDGEA <. pF ^ , . Q 0, TAGE: 20' A I E MINIMUM LOT WIDMINIMUM LOT TH: v, 1 . 125 00, ~--O-- JtJRISDiC110N _ �� i LAWN MINIMUM FRONT YrkRD SETBACK: 30' S 0� �� PARCEL 20 AR8oR�1� ;, 4c„ P t MINIMUM SIDE AND REAR YARD SETBACKS: 15' d /�'''%ii' MAXIMUM BUILDING, ' HEIGHT. 30 LOT 4 p — 22,407f S.F. CLEARED h l 2� I „ SOAK O CV N GENE... . I r N EXISTING SEPTIC N PI • ,�. TANK TO BE GENERAL ' TES. REMOVED LAWN o 1. HOUSE NUMBER 304 0 r v I I N 2. ASSESSORS .N �MBER: 337--14 1; : y I xQd CEDAR I 3. ZONING DISTRIC,'I: , RF-1 20.4 x " y E ce 4. FLOOD HAZARD' ZONES:. C 8c A5 EL.12 22; " TO', /N " PINE OF, CLEARING 6 14 CEDAR 14 CEDAR E IST1N ; APPROXIMATE 5. TOPOGRAPHIC ,INFORMATION COMPILED FROM A PLAN BY OTHERS. x 20.6 LOCATION OF BENCHMARK: 0 TAOE � \ h PROPOSED 1,500 TOP OF CONCRETE BOUND 04 EXISTING SEPTIC j EX/STING N£LL ro BE r, GALLON sEPTIc TANK ' 6. ELEVATIONS SHOWN ARE BASED ON NATIONAL GEODETIC VERTICAL DATUM. ELEV. = 20.98 FrEPLACEO lylTH NE`Y 1 20.7} 7'�'� \ SYSTEM, CONFIRM I;SE€ DETAIL) 1 �_. �, LOCATION IN FIELD x u 7. LOT COVERAGE BY `STRUCTURES: 4,546 S.F./22,407 S.F. = 20% HEEL /N SAME I00ATJON - PINE 14" CEDAR BRUSH 21.3x X21.7 21.1 �) DOUBLE 14 1 PROPOSED S9/ELL GG� OF CLEq CHERRY OR/i%EIf�AY �I i 10" PINE ) ARBORVITES �'` g„ CEDARS r, O 82.65 42.51 P 113 19 PIS 13 20 Nt •23 40 W EDGE OF PAVEMENT PLOT PLAN BONE HILL (PUBLIC — 25' WIDE) OA� PREPARED FOR BARNSTABLE HARBOR BUILDERS EDGE OF PAVEMENT ' I - j IN I BARNSTABLE Mfg . PLAN DATE: JAN. 15, 2004 PLAN SCALE: 1" = 20' CIVIL ENGINEERING n r �- WETLANDS PERMITTING i �,.f EJ A.. _ WASTEWATER DESIGN w COASTAL ENGINEERING 20 0 10 20 40 MICHAELJ " 's TITLE 5 PLOT PLANS , (�^� PIERS AND DOCKS SORSELLt ��G 11"v CIVIL al , , LAND USE PLANNING INEER COMMERCIAL/RESIDENTIAL SCALE: 1 INCH - 20 FEET ,� Q No.35054 90 9FGrSTEA�4���''� Serving COP& COd Ond SOUtbOOStem MOSS hUSO&S SS�oNAt6 ( 101 TOWN HALL SQUARE — FALMOUTH, MA — 02540 — 508.495.1225 — 508.495.3229 fax - PROJECT NUMBER: 03039 CAD FILE NAME: 03039PP DRAWN BY: L.M. TSHEET 1 OF 1 ---- - _ � _ - _._ _ _ _ _ __ _ _. .-_._